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E
H
REGISTO DE EQUIPAMENTO | REGISTRO DE EQUIPO | ENREGISTREMENT DE L'ÉQUIPEMENT
REGISTO DE EQUIPAMENTO | REGISTRO DE EQUIPO | ENREGISTREMENT DE L'ÉQUIPEMENT
APPARATUUR RECORD | UTSTYR REKORD | REGISTRAZIONE DELL'APPARECCHIATURA
APPARATUUR RECORD | UTSTYR REKORD | REGISTRAZIONE DELL'APPARECCHIATURA
1 - PRODUCT
5 - PURCHASE DATE
7 - OTHER RELEVANT INFORMATION
9 - REASON FOR ENTRY
8 - DATE
(PERIODIC EXAMINATION OR REPAIR)
ADDITIONAL INFORMATION
+ 80° C
+ 176° F
AI1
- 40° C
- 40° F
AI2
12
AI3
AI4
MARKING/ LABELS
B
FS8XX-XM
0123456
11/2019
FALLSAFE-ONLINE.COM
EN 795:2012 - Class B
FOR THE USE OF ONE USER ONLY!
C
EQUIPMENT RECORD
EQUIPMENT RECORD
ALL PERIODIC EXAMINATIONS SHOULD BE RECORDED BY THE COMPETENT PERSON.
THIS RECORD SHOULD BE KEPT WITH THE EQUIPMENT DURING THE WHOLE LIFE TIME.
2 - REF. NUMBER
(SEE THE EQUIPMENT LABEL)
PERIODIC EXAMINATION AND REPAIR HISTORY
10 - DEFECTS, REPAIRS, ETC.
AI7
AI5
AI8
AI9
AI6
AI10
AI11
A
D
3 - SERIAL NUMBER
4 - MANUFACTURING DATE
(SEE THE EQUIPMENT LABEL)
(SEE THE EQUIPMENT LABEL)
6 - DATE OF THE FIRST USE
12 - NEXT PERIODIC EXAMINATION
11 - NAME & SIGNATURE
(DUE DATE)
F
G
1
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