Serial no.: .............................................................................
Repair order no.: .............................................................
Inspection result (check)
The high pressure cleaner was checked by an expert according to the Guidelines
for Liquid Spray Equipment, the defects found have been rectified so that the
Labour Safety can be confirmed.
The high pressure cleaner was checked by an expert according to the Guidelines
for Liquid Spray Equipment. The Labour Safety cannot be confirmed unless the
defects found are rectified by repair or replacement of the faulty parts.
Scope of inspection o.k.yesnorepaired
Type plate (on hand)
Operating manual (on hand)
Protective covering, Protective device
Pressure line (tightness)
Stainless steel pressure gauge (function)
Float valve (tightness)
Spraying device (marking)
High pressure hose / connector (damage, marking)
Safety valve opens at 10 % / 20 % exceeding
power supply cable (damage)
Protective conductor (connected)
On / O switch
Used chemicals
Allowed chemicals
Inspection data determined valueset value
High pressure nozzle
Operating pressure ………………bar
Switch o pressure ……………..bar
protective conductor resistance not exceeded / value
Insulation
Leakage current
Safety trigger gun locked
The next retest according to the Guidelines for Liquid Spray Equipment has to be
carried out by: Month
................................................................... Year .......................................................................
Place, Date ..........................................................................Signature ...............................................................................
High pressure 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!)
Serial no.: .............................................................................
Repair order no.: .............................................................
Inspection result (check)
The high pressure cleaner was checked by an expert according to the Guidelines
for Liquid Spray Equipment, the defects found have been rectified so that the
Labour Safety can be confirmed.
The high pressure cleaner was checked by an expert according to the Guidelines
for Liquid Spray Equipment. The Labour Safety cannot be confirmed unless the
defects found are rectified by repair or replacement of the faulty parts.
Scope of inspection o.k.yesnorepaired
Type plate (on hand)
Operating manual (on hand)
Protective covering, Protective device
Pressure line (tightness)
Stainless steel pressure gauge (function)
Float valve (tightness)
Spraying device (marking)
High pressure hose / connector (damage, marking)
Safety valve opens at 10 % / 20 % exceeding
power supply cable (damage)
Protective conductor (connected)
On / O switch
Used chemicals
Allowed chemicals
Inspection data determined valueset value
High pressure nozzle
Operating pressure ………………bar
Switch o pressure ……………..bar
protective conductor resistance not exceeded / value
Insulation
Leakage current
Safety trigger gun locked
The next retest according to the Guidelines for Liquid Spray Equipment has to be
carried out by: Month
................................................................... Year .......................................................................
Place, Date ..........................................................................Signature ...............................................................................
High pressure 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!)
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