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Rime sp Inspection r alis e par : Fiche d inspection No. de r f rence de l' quipement : Date (jour/mois/ann e) / / 11 12 10 13 1 3 2 4 9 5 7 6 8 La v rification du chariot doit tre effectu e dans un endroit s curitaire. Compte tenu des diff rents mod les de chariots l vateurs existants, il est recommand de valider cette fiche d inspection avec celle du man.

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