User`s guide

Check Sheet for the Periodic Inspection of the
Breaker
This page should be cut out of the user’s guide and copied for future use.
After cutting out of the user’s guide, store this page in a safe place near the
machine.
How to Inspect the Breaker periodically
Follow the procedure described in the “Periodic Inspection of the Breaker,” on p. xxv of the
imageRUNNER 6020i/5020i and imageRUNNER 6020/5020 Reference Guide, once or
twice a month.
How to Fill in this Check Sheet
Fill in the date of inspection, and the name of inspector.
When the inspection finished normally, write a check mark under <OK>.
If not, contact your service representative. (Also write a check mark under <NG>.)
Date of
Inspection
Inspector
Result
OK NG
Date of
Inspection
Inspector
Result
OK NG