Address of operator
Place, date, signature
The safety equipment was subjected to a recurring FUNCTION CHECK and worked
correctly at that time.
Place, date
For Switzerland, the following must be observed:
The name of the installation company with on-call service and telephone number must be
38 / 133
Installation certificate – page 2
Recurring FUNCTION CHECK
attached to the indicator of the BC-2!
Address of specialised company
Place, date, signature, stamp of the specialised company
Specialised company (stamp, signature)
BC-2
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