Has the item been checked in accordance with manufacturers instructions?

Any additional checks carried out?

Is the equipment in good order?

Please confirm any maintenance carried out

If 'NO' has the equipment been taken out of use and reported ?

Any other information to be captured

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.