Acceptance report
Dear customer!
We request your conrmation of properly completed transfer of the machine. Please transmit a
copy of this document - lled out and signed by an authorized company representative - to an
employee of our sales afliate for forwarding to the manufacturer.
Please check applicable items:
Machine parts checked for shipping damage.
Machine parts checked against delivery note.
Setup of the machine discussed.
Startup of the machine discussed.
Operation of the machine discussed.
Maintenance of the machine discussed.
Electrical voltage checked.
Safety notes discussed.
Trial run performed.
Deciencies determined.
The machine with the machine designation:
has been checked according to the listed items and has been handed over properly.
City, Date
Name, Position
Company stamp, Signature(Instructed person)
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