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- Testzegels: Best.-Nr.: UVV200106
R
De volgende herhalingscontrole volgens de
richtlijnen voor vloeistofsproeiers moet op
zijn laatst doorgevoerd zijn op:
Maand: _________ Jaar: _____________
Servicerapport voor hogedrukreiniger
Controlebericht van de jaarlijkse arbeidsveiligheidscontrole (UVV) volgens de
richtlijnen voor vloeistofstralers. (Dit controlebericht dient als bewijs voor de
herhalingscontrole en moet goed opbewaard worden)
Eigenaar: _____________________ Type: therm CA ____ Bouwjaar: _____
Adres: _____________________ Serienummer: ____________________
_____________________ Reparatie opdrachtsnr.:_____________
:selortnoC
edroni
-ereg
-erap
dre
ajeen
)gizewnaa(taalpepyT
)gizewnaa(gnizjiwnaaskiurbeG
,-gniletnammosgnimreh
cseB
eitallatsni
)diehthciD(gnidielkurD
)noitknuF(retemonaM
)diehthciD(leitnevrettolV
)gnineketneK(lootsip
tiupS
eitatnemelpmi/gnalS-DH
)gnineketneK,)gnigidahcseb(
jibtnepoleitnevsdiehgilieV
ednavgnidjirhcsrevo%0
2/%01
kurdkrew
tavkurD
)diehthciD(gnidieleilokootS
)noitknuF(pelkteengaM
)noitknuF(taatsomrehT
)eitcnuF(gni
kawebsgnimortS
)gnigidahcseb(lebakteN
)gnigidahcseb(rekketsteN
netolsegnaa/gnidielsgnimrehcseB
)eitcnuF(r
aalekahcS-tiU-dooN
raalekahcstiu/-naA
)eitcnuF(gnirekeztroketretaW
neffotseimehcetkiurbeG
neffotseimehcne
vegegjirV
snevegegelortnoC
-egtsaV
edlets
edraaw
-tsegnI
podle
reieorpskurdegoH
rab............kurdsfjirdeB
rab........
.....kurdlekahcstiU
.hccaB.n.......................etlahegteoR
²OC%...................edraaW-²OC
%......
.......daargsgnikreW
gnidielsgnimrehcsebdnatsreeW
:edraaw/nederhcsrevotein
eitalosI
moortssgnidielfA
dledn
ergrevlootsiplekahcstiU
Testresultaat (aankruisen)
Het apparaat wird volgens de
richtlijnen voor vloeistofstralers
gecontroleerd. De gevonden
storingen werden gerepareerd zodat
de werkveiligheid bevestigd wordt.
Het apparaat wird volgens de
richtlijnen voor vloeistofstralers
gecontroleerd. De werkveiligheid is
eerst na reparatie van de
vastgestelde storingen resp.
vervanging van de defecte onderdelen
weer gewaarborgd
Plaats, Datum: _________________
Handtekening: _________________
54


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