INSPECTION AND MAINTENANCE RECORD

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Helmet Reference #

Helmet Wearer:

Date of Receipt of Helmet:

Inspection Date	Cleaning or Repair Details	Inspection Comments	Date Returned to Service

Pacific Helmets (NZ) Ltd
Phone (NZ) 64 + 6 + 344 5019 Fax (NZ) 64 + 6 + 344 5376
E-mail: sales@pacifichelmets.co.nz Website: http://www.pacifichelmets.co.nz