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Onderhoudsrapport
Apparaattype: ................................ Apparaatnummer: ......................................
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
Opmerkingen: ...............................................................................................................................................................
......................................................................................................................................................................................
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Apparaat gereinigd – buiten –
Apparaat gereinigd – binnen –
Condensator gereinigd
Verdamper gereinigd
Ventilator gereinigd
Ventilatorbehuizing gereinigd
Aanzuigrooster met grof filter gereinigd
Apparaat gecontroleerd op beschadigingen
Alle bevestigingsschroeven gecontroleerd
Elektrische veiligheidscontrole
Proefdraaien
16
*
Laat het apparaat conform de wettelijke voorschriften alleen onderhouden door geautoriseerd
vakpersoneel.
*
14


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