Maintenance Form - Air Liquide OSIRIS 2 Manual De Uso

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1st year
Date: .............................................
Number of hours: ..........................
Technician's name: .....................
......................................................
Signature
and
stamp:
3rd year
Complete maintenance
Date: .............................................
Number of hours: ..........................
Technician's name: .....................
......................................................
Signature
and
stamp:
5th year
Date: .............................................
Number of hours: ..........................
Technician's name: .....................
......................................................
Signature
and
stamp:
7th year
Date: .............................................
Number of hours: ..........................
Technician's name: .....................
......................................................
Signature
and
stamp:
22
2nd year
Date: .............................................
Number of hours: ..........................
Technician's name: .....................
......................................................
Signature
and
stamp:
4th year
Date: .............................................
Number of hours: ..........................
Technician's name: .....................
......................................................
Signature
and
stamp:
6th year
Complete ADR maintenance
Date: .............................................
Number of hours: ..........................
Technician's name: .....................
......................................................
Signature
and
stamp:
8th year
Date: .............................................
Number of hours: ..........................
Technician's name: .....................
......................................................
Signature
and
stamp:
YL024400 - V 2.1 - 10/2012
VI. APPENDIX

Maintenance form

OSIRIS 2 NO.: ........................................................
.................................................................................
In service on : ........................................................
.................................................................................
.................................................................................
.................................................................................
Maintenance assured by: .....................................
.................................................................................
.................................................................................
.................................................................................
.................................................................................
Your distributor: ....................................................
.................................................................................
Address: ...............................................................
................................................................................
.................................................................................
.................................................................................
.................................................................................
.................................................................................
.................................................................................
.................................................................................
.................................................................................
Telephone : ............................................................
.................................................................................
Preventive maintenance of equipment must be done
according to instructions given by the manufacturer in
maintenance manuals and possible updates.
Operations must be performed by technicians who have
received appropriate training.
Use only original spart parts.
On request, the supplier will make available: circuit
diagrams, component lists, technical descriptions, or any
other information useful to qualified technical personnel,
to repair parts of the equipment stated as repairable by
the manufacturer.
Manufacturer:
Air Liquide Medical Systems
Parc de Haute Technologie
6 rue Georges Besse CE 80
92182 Antony CEDEX - FRANCE
Tél : 33 (0)1 40 96 66 00
Fax : 33 (0)1 40 96 67 00
Website:
www.airliquidemedicalsystems.com
Hotline:
ALmedicalsystems.services@airliquide.com
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