History Card

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Doc. No.

: QR/07

Company Name…………….. Revision No.: 00


Revision Date: -
Issue Date:-01.04.2021

Equipment History Card

Name of Equipment:
Equipment Identification No.:
Make/Model:

Range:
Year of Purchase :
Current Location:

Activity Performed (Like Repair, Parts


Action
Date Replacement, Oil Change Calibration, Annual Remarks Signature
Taken
Maintenance, etc.)

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