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Instruction and delivery protocol of Kärcher high-pressure and ultra
high-pressure water blasting units
1. Unit details:
Type: Serial number: □□□□□□
2. Customer:
Company: ….………………………………………
Contact person: .............………………………….
Sector: ………...……………………………………
Street: ………………..…………………………….
Postal code / City: …...……………..……………..
Phone: ………………………………..…………….
e-mail: …..………………………………………….
3. The delivered unit includes the following documents:
Instructed persons:
……………………………………………….
……………………………………………….
……………………………………………….
……………………………………………….
……………………………………………….
……………………………………………….
……………………………………………….
□ Operation manual □ Accessory information
□ After sales service catalogue □ Safety instructions (BG + Kärcher)
4. The following was pointed out:
□ Safety instructions and mandatory suitable safety clothing.
□ Intended use, unit function.
□ Required steps for starting up the unit.
□ Control elements.
□ Modified driving behaviour with variably filled tanks.
□ Mandatory safety inspections (annually).
□ Correct positioning / running of unit / hoses at work place.
□ Necessity of cleaning unit and accessories.
□ Advices for maintenance and care.
Alfred-Kärcher GmbH & Co. KG
Alfred-Kärcher-Straße 28-40
D - 71364 Winnenden 27.01.2009 / PCI
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□ First starting up, unit explication and instruction together with the customer was carried
out.
□ Correct protection of work place (self-, operator-, pedestrian-, movable- and property
protection).
□ Risk of frost and therewith unit damages.
□ Water supply only with potable water.
□ Immediate replacing of high-pressure hose in case of damage.
□ Limited durability of high-pressure hoses.
□ Necessity of diver's license class BE (old class 3) or others which include BE.
□ National terms of warranty.
5. Unit was delivered without defects □ yes □ no
The following defects are observed:
_____________________________________________________________________
_____________________________________________________________________
Maintenance contract closed
Herewith we confirm the delivery and instruction was done duly. The unit as
well as the accessories are faultless unless mentioned in point 5.
______________ ______________________ ______________________
Place / Date Stamp / Signature customer Stamp / Signature salesman
The customer confirms with his signature the unit was delivered with operation manual and safety instructions
duly.
The safety instructions according to BGV D15 were shown separately. The customer has understand and received
them.
□ yes □ no
Alfred-Kärcher GmbH & Co. KG
Alfred-Kärcher-Straße 28-40
D - 71364 Winnenden 27.01.2009 / PCI