280490 FGSH-450
- Owner’s Manual
Rev: 03/25/13
Page: 25
Service Record History - Initial Information
PURCHASE INFORMATION:
Product Name:
FGSH-450 Hydraulic Steel Floor Lift
Serial #:________________________
Date of Purchase:
_____________________
Purchased From:
___________________________________________________________
(local authorized Prism Medical Representative)
Address:
_______________________________________
City:
__________________________
Postal Code:
________________
Telephone No:
__________________________
Comments:
Complete the following section on
Purchase and Service Information
as soon as this
equipment is purchased.
Use the service record history to record to any completed service and repairs.
Ensure that the service record is signed and dated each time it is used.
Be sure to have this piece of equipment serviced on a regular basis as described in the
General Inspection and Maintenance Section.
SERVICE INFORMATION:
Contact the following company for service:
Company:
___________________________________________________________
(local authorized Prism Medical Representative)
Address:
_______________________________________
City:
__________________________
Postal Code:
________________
Telephone No:
__________________________
Comments:
