Form Builder

Customer Name

P.O. Number

WSL Report Number

Serial Number

Model

Code

Welder Type

Addition Welder Info

Specify Other

Maintenance Performed

(legend: 1-acceptable, 2=need repair, 3=unit repair and acceptable, n/a=not applicable)

Remove covers and panel

Inspect and verify input power setting

Inspect and tighten connection

Set up and run test unit

Clean blow unit with compressed air

Inspect unit shore plug-in

Do unit inspection below (as required)

Re-install covers and panel

Wed Test / Cutting Test

Open Circuit Voltage as found

Inspection Performed

Component install on unit only

Comments

Inspected by

Verified by

Date