MANDÍK CPV Installation, commissioning, and maintenance
IZU 02/2021
MANDÍK, a.s., www.mandik.cz
R
21
YES
NO
1.20.
1.21.
1.22.
1.23.
1.24.
1.25.
1.26.
1.27.
1.28.
1.29.
1.30.
YES
NO
1.31.
1.32.
1.33.
1.34.
In …………………………………...…….. date …………………………
Stamp and signature of service technician
Stamp and signature of authorised representative
of the facility operator
Surname and number of service technician
Surname of the operator’s authorised representative
in capital letters
in capital letters
* Record the value only w hen a value needs to be measured.
SPECIAL OPERATIONS:
Completion of operation
Measured or set
value *
Check the connection and condition of the
peripherals - external sensors, remote control
OPERATIONS FOR THE UNIT IN GENERAL – ELECTRICAL AND MEASURING AND CONTROL
Opera
tion
numb
Description of servicing operation
Comment
Check the connection and condition of the
main power
Comment
Opera
tion
numb
Description of servicing operation
Completion of operation
Measured or set
value *