Repair and inspection log 45
11. Repair and inspection log
11.1 Oxygen MODULE
Device master data Inspections and repairs carried out in accordance with the service instructions
Manufacturer: Weinmann GmbH + Co.
22525 Hamburg
Measures / Comments
Service performed in accordance
with MODULE service instructions
Company
_____________ __________________
Date Signature
Device model: Oxygen MODULE
❐ WM 22200 with Walther coupling
❐ WM 22240 with AGA coupling
Serial no.: _________________________
Company
_____________ __________________
Date Signature
Date of manufacture: ________________
Functional check:
Company
_____________ __________________
Date Signature
Before each use ____________________
After each use _____________________
Company
_____________ __________________
Date Signature
Every 6 months ____________________
After every repair __________________