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12 Inspections Performed
It is confirmed by stamp and signature that all jobs listed in the inspection schedule of the Service
and Repair Instructions have been properly performed. The list of the inspection jobs to be
performed can be found in the Service Manual which is available through Invacare®.
Delivery Inspection 1
st Annual Inspection
Stamp of authorised Dealer / Date / Signature Stamp of authorised Dealer / Date / Signature
2nd Annual Inspection 3
rd Annual Inspection
Stamp of authorised Dealer / Date / Signature Stamp of authorised Dealer / Date / Signature
4th Annual Inspection 5
th Annual Inspection
Stamp of authorised Dealer / Date / Signature Stamp of authorised Dealer / Date / Signature