Proof of maintenance
Warranty claim for this machine only apply for performance of the mandatory maintenance works (by an
authorised specialist workshop)! After each completed performance of a maintenance interval the
included form must be fill out, stamped, signed and send back to us immediately
Operator:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Device type:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Device-No.:
_ _ _ _ _ _ _ _ _ _ _ _
First inspection after 25 operating hours
Date:
Maintenance work:
All 50 operating hours
Date:
Maintenance work:
Minimum 1x per year
Date:
Maintenance work:
Article -No.:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Year of make: _ _ _ _
Inspection by company:
Company stamp
........................................................................
Name
Inspection by company:
Company stamp
........................................................................
Name
Company stamp
........................................................................
Name
Company stamp
........................................................................
Name
Inspection by company:
Company stamp
........................................................................
Name
Company stamp
........................................................................
Name
1)
.
Signature
Signature
Signature
Signature
Signature
Signature