TR-3019-230E-ICU / TR-3019-400E-ICU
48
48
COMMISSIONING CERTIFICATE
14. COMMISSIONING CERTIFICATE
Serial number and production date
data from the product label
Information on the organization authorized to perform the assembly and maintenance
name, address and telephone number
Assembly date
day, month, year
L.S.
Signature of the person
in charge of assembly
signature
full name
The customer (Client) has checked the content of delivery, is informed on and agrees with the war-
ranty terms and conditions, and has no claims about the appearance of the product. The product
is installed and adjusted according to the established requirements and is found fit for operation.
The user was instructed on the existing hazards and risks, and informed about operation rules.
Information about the client (customer)
name, address and telephone number
Customer’s signature
(owner)
signature
full name
15. INFORMATION ON THE PERFORMED WORKS
The
table
below contains the information about works performed during installation and oper-
ation of the product: drive data, connected additional devices and safety devices, settings (dif-
ferent from the factory values), verification, maintenance, adjustments, etc.
DATE
TYPE OF WORKS
SPECIALIST
SIGNATURE
OWNER
SIGNATURE