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Inspection report for HP cleaners
Type plate (on hand)
Operating manual (on hand)
Protective covering, -device
Pressure line (tightness)
Pressure gauge (function)
Float valve (tightness)
Spraying device (marking)
HP-hose / connector (damage, marking)
Safety valve opens at 10 % / 20 % exceeding of operating pr.
Power cable (damage)
Protective conductor (connected)
On / Off switch
Used chemicals
Allowed chemicals
High-prsure nozzle
Operating pressure..................bar
Switch off pressure................bar
Conductor reist. not exceeded / value
Insulation
Leakage current
Gun locked
The appliance was checked by an expert according to the Guidelines for Liquid
Spray Equipment, the defects found have been rectied so that the Labour Safety can be
conrmed.
The appliance was checked by an expert according to the Guidelines for Liquid
Spray Equipment. The Labour Safety cannot be conrmed unless the defects found are
rectied by repair or replacement of the faulty parts
The next retest according to the Guidelines for Liquid Spray Equipment has to be carried
out by: Month Year
Place, date Signature
HP cleaners for industrial use have to be checked by an expert every 12 months!
Inspection report on annually carried out Labour Safety Inspection (UVV) according
to the Guidelines for Liquid Spray Equipment. (This inspection sheet serves as proof
for the completion of the retest and must be kept carefully!)
Kränzle test seals: Order no. UVV200106
Scope of inspection o.k. yes no repaired
Inspection data determined value set value
Inspection result (tick)
Owner:
Address:
Type:
Serial no.:
Rep. order
46


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