P600 Lift
- User Guide (753102)
Rev: 14 MAR 2017
Page: 25
Service Record History
Complete this section after each service, repair inspection and/
or maintenance. Photocopy additional pages as required.
Service Type:
□
Periodic Inspection
□
Monthly Inspection
□
6 Month Inspection
□
Repair
□
Yearly Inspection
□
Other:_________
Completed By
:
_________________________
_____________________________
Printed Name
Signature
Company:
_____________________________________________________________
Remarks & Action Taken:
Date:
_______________________
Time:
________________________
Service Type:
□
Periodic Inspection
□
Monthly Inspection
□
6 Month Inspection
□
Repair
□
Yearly Inspection
□
Other:_________
Completed By
:
_________________________
_____________________________
Printed Name
Signature
Company:
_____________________________________________________________
Remarks & Action Taken:
Date:
_______________________
Time:
________________________
Service Type:
□
Periodic Inspection
□
Monthly Inspection
□
6 Month Inspection
□
Repair
□
Yearly Inspection
□
Other:_________
Completed By
:
_________________________
_____________________________
Printed Name
Signature
Company:
_____________________________________________________________
Remarks & Action Taken:
Date:
_______________________
Time:
________________________
Service Type:
□
Periodic Inspection
□
Monthly Inspection
□
6 Month Inspection
□
Repair
□
Yearly Inspection
□
Other:_________
Completed By
:
_________________________
_____________________________
Printed Name
Signature
Company:
_____________________________________________________________
Remarks & Action Taken:
Date:
_______________________
Time:
________________________
Service Type:
□
Periodic Inspection
□
Monthly Inspection
□
6 Month Inspection
□
Repair
□
Yearly Inspection
□
Other:_________
Completed By
:
_________________________
_____________________________
Printed Name
Signature
Company:
_____________________________________________________________
Remarks & Action Taken:
Date:
_______________________
Time:
________________________
Service Type:
□
Periodic Inspection
□
Monthly Inspection
□
6 Month Inspection
□
Repair
□
Yearly Inspection
□
Other:_________
Completed By
:
_________________________
_____________________________
Printed Name
Signature
Company:
_____________________________________________________________
Remarks & Action Taken:
Date:
_______________________
Time:
________________________
