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Onderhoudsrapport
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
apparaat van buiten gereinigd
apparaat van binnen gereinigd
ventilatorvinnen gereinigd
branderkamer gereinigd
warmtewisselaar gereinigd
rookgasremmers vervangen
pakkingen reinigingsdeksels vervang.
branderflenspakking vervangen
brandstoffilter vervangen
veiligheidsonderdelen gecontroleerd
elektr. veiligheid gecontroleerd
veiligheidsmaatregelen gecontrol.
controle op beschadigingen
Branderonderhoud *)
proefdraaien
apparaat type : ................................ apparaat nummer : ......................................
brander type : ................................ brander nummer : ......................................
opmerkingen:..................................................................................................................................................................
........................................................................................................................................................................................
*) Laat de ventilatorbrander overeenkomstig de wettelijke voorschriften alleen door deskundig personeel
onderhouden en afstellen. Het resultaat van de metingen moet in een rapport vastgelegd worden.
1. Datum: ................... 2. Datum: ................. 3. Datum: ................. 4. Datum: .................. 5. Datum: ..................
Handtekening Handtekening Handtekening Handtekening Handtekening
6. Datum: ................... 7. Datum: ................. 8. Datum: ................. 9. Datum: .................. 10. Datum: ................
Handtekening Handtekening Handtekening Handtekening Handtekening
11. Datum: ................. 12. Datum: ............... 13. Datum: ................ 14. Datum: ................ 15. Datum: ................
Handtekening Handtekening Handtekening Handtekening Handtekening
16. Datum: ................. 17. Datum: ............... 18. Datum: ................ 19. Datum: ................ 20. Datum: ................
Handtekening Handtekening Handtekening Handtekening Handtekening
15


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