G
B
DESCRIPTION OF OPERATION
Tick the box corresponding to the intervention carried out. Describe possible residual risks and/or foreseeable improper use.
[ ] Installation
[ ] Start-up
[ ] Adjustment
[ ] Maintenance
[ ] Repair
[ ] Modification
____________________________
Date
DESCRIPTION OF OPERATION
Tick the box corresponding to the intervention carried out. Describe possible residual risks and/or foreseeable improper use.
[ ] Installation
[ ] Start-up
[ ] Adjustment
[ ] Maintenance
[ ] Repair
[ ] Modification
____________________________
Date
DESCRIPTION OF OPERATION
Tick the box corresponding to the intervention carried out. Describe possible residual risks and/or foreseeable improper use.
[ ] Installation
[ ] Start-up
[ ] Adjustment
[ ] Maintenance
[ ] Repair
[ ] Modification
____________________________
Date
_____________________________________________________________
Technician's signature
_____________________________________________________________
Technician's signature
_____________________________________________________________
Technician's signature
____________________________________________________________________
Owner's signature
____________________________________________________________________
Owner's signature
____________________________________________________________________
Owner's signature
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