Delivery Report Form Breaker
Delivery Report Form Breaker
Installation by :
No. Items to be explained to the customer Check No. Items to be explained to the customer Check
1 OPERATION 2 MAINTENANCE
1-1 Components location 2-1 Inspection and Lubricating points before operation
1-7 Correct operation and Care for safety 2-7 Caution to be taken before inspection
Remarks:
This machine has been delivered in satisfactory condition and necessary information for operation, maintenance and safety, and
Authorized Customer’s Name & Signature: Date: DD/MM/YYY Distributor Inspector’s Name, Signature & Date: