beautypg.com

Test certificate for safety cushions – Vetter SP 16 User Manual

Page 15

background image

Page 14/15

Test certificate for safety cushions

Annual inspection

Main safety check

General safety check

Operator:

Name 1
Name 2
Road
Zip code/place
District

The Vetter safety cushion Type SP 16

Manufacturing No.:
Year of manufacture:

was inspected/checked/
tested on

by (name of expert):

____________________________________________________

Test results:

No faults

Faults as detailed below

Next test/check/

inspection:

The test/check/inspection has been permanently recorded on the
type plate.

____________________

____________________

Place/Date

Examiner in charge