1 - PRODUCT
5 - PURCHASE DATE
7 - OTHER RELEVANT INFORMATION
9 - REASON FOR ENTRY
8 - DATE
(PERIODIC EXAMINATION OR REPAIR)
1
2
3
4
5
6
7
8
FS900RA
EN341:2011-A, TYPE 2 | EN12841:2006-C
EQUIPMENT RECORD
EQUIPMENT RECORD
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
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.
NOMENCLATURE/ FIELD OF APPLICATION
12
4
3
10
9
13
15
8
3 - SERIAL NUMBER
(SEE THE EQUIPMENT LABEL)
6 - DATE OF THE FIRST USE
11 - NAME & SIGNATURE
9
7
11
6
5
FS909
EN341 - CLASS D
4 - MANUFACTURING DATE
(SEE THE EQUIPMENT LABEL)
12 - NEXT PERIODIC EXAMINATION
(DUE DATE)
18
10
17
3
4
14
16
15
7
8
FS910
EN567:2013 | EN12841:2006-B
15
3