Thefollowing itemshavebeenidentifiedasrequiring attention.
I hereby certify thatthe Mobile Elevating Work Platformidentifiedabovehas beeninspectedinaccordancewiththerequirementsofAS 2550.10andhasbeen foundtobeinasafeandserviceableconditionatthetimeofinspection.
Technician Signature:
Technician Name:
Date: