Service Manual

GSM-204-423
Sample form 2: Completion and inspection form
31st Oct 01
Inst. 7–24
Installation & Configuration: Horizon macro outdoor
CONTROLLED INTRODUCTION
68P02902W03-A
This document is intended for the initial certification of a new installation or of an alteration or addition to
an existing installation and of an inspection.
The signatures appended are those of the persons authorised by the companies executing the work of
design, construction and inspection and testing respectively. A signatory authorised to certify more than
one category of work shall sign in each of the appropriate places.
Dates to be inserted.
Where particulars of the installation recorded herein constitute a sufficient schedule for the purpose of
Regulation 514–09–01 further drawings / schedules need not be provided. For other installations the
additional drawings/schedules listed below apply.
Insert here the time interval recommended between periodic inspections. Regard should be paid to
relevant National or Local legislation and reference should be made to chapter 13.
The page numbers of each sheet should be indicated together with the total number of sheets involved.
(4) Schedule of additional records.
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(6) page 2 of . . . . pages