i n S p e c t i o n l i S t
The inspection list needs to be filled out
completely by the expert at the annual ins-
pection.
This inspection list does not claim to spe-
cify all inspection criteria and does not re-
lease the expert from his decision about
the overall condition..
Date
_______________________________________________________________________
Year 1
_______________________________________________________________________
Year 2
_______________________________________________________________________
Year 3
_______________________________________________________________________
Year 4
_______________________________________________________________________
Year 5
_______________________________________________________________________
Year 6
_______________________________________________________________________
Year 7
_______________________________________________________________________
Year 8
_______________________________________________________________________
Year 9
_______________________________________________________________________
Year 10
_______________________________________________________________________
for annual supervision
Date of next
Signature
inspection
Type RS-S05:
_____________________
Date of production:
Serial number:
______________________
Purchase date:
______________________
Date of first use:
____________________
Latest due date
for decommissioning:
Reason for inspection
__________________
________________
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