<p style="text-align: left"><span data-section="1">IDENTIFICATION DE L'ACCESSOIRE/ ACCESSORY IDENTIFICATION</span></p><p style="text-align: left"></p><p style="text-align: left"><span data-question="1">Code et désignation accessoire</span></p><table data-table-form-id="25" data-question-id="25" data-header-orientation="horizontal" data-table-form-status="created" style="min-width: 50px"><colgroup><col style="min-width: 25px"><col style="min-width: 25px"></colgroup><tbody><tr><th colspan="1" rowspan="1"><p style="text-align: left"><span><strong>Code</strong></span></p></th><th colspan="1" rowspan="1"><p style="text-align: left"><span><strong>Désignation /Designation</strong></span></p></th></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"><span data-question="2">Données relatives au produit précédent/ Previous product data</span></p><table data-table-form-id="26" data-question-id="26" data-header-orientation="horizontal" data-table-form-status="created" style="min-width: 931px"><colgroup><col style="width: 453px"><col style="min-width: 25px"><col style="width: 453px"></colgroup><tbody><tr><th colspan="1" rowspan="1" colwidth="453"><p style="text-align: left"><span><strong>Désignation /<em>Designation</em></strong></span></p></th><th colspan="1" rowspan="1"><p style="text-align: left"><span><strong>Numéro de lot/ Batch number</strong></span></p><p style="text-align: left"></p></th><th colspan="1" rowspan="1" colwidth="453"><p style="text-align: left">Date de l’opération/ Operation date</p></th></tr><tr><td colspan="1" rowspan="1" colwidth="453"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1" colwidth="453"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"></p><p style="text-align: left"><span data-question="3">Nettoyage de l'accessoire</span></p><table data-table-form-id="38" data-question-id="38" data-header-orientation="horizontal" data-table-form-status="created" style="min-width: 50px"><colgroup><col style="min-width: 25px"><col style="min-width: 25px"></colgroup><tbody><tr><th colspan="1" rowspan="1"><p style="text-align: left">Accessoire à nettoyer/ Accessory to be cleaned </p></th><th colspan="1" rowspan="1"><p style="text-align: left">Date</p></th></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"><span data-question="4">Accessoire nettoyé/ Cleaned accessoy  </span></p><table data-table-form-id="39" data-question-id="39" data-header-orientation="horizontal" data-table-form-status="created" style="min-width: 50px"><colgroup><col style="min-width: 25px"><col style="min-width: 25px"></colgroup><tbody><tr><th colspan="1" rowspan="1"><p style="text-align: left">Accessoire nettoyé/ Cleaned accessoy</p></th><th colspan="1" rowspan="1"><p style="text-align: left">Date</p></th></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"><span data-question="5">Nettoyage effectué par / Cleaning done by</span></p><table data-table-form-id="40" data-question-id="40" data-header-orientation="horizontal" data-table-form-status="created" style="width: 1190px"><colgroup><col style="width: 1190px"></colgroup><tbody><tr><th colspan="1" rowspan="1" colwidth="1190"><p style="text-align: left">Nettoyage effectué par / Cleaning done by</p></th></tr><tr><td colspan="1" rowspan="1" colwidth="1190"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"><span data-question="6">Date de fin de validité de nettoyage / Cleaning end validation date </span></p><table data-table-form-id="41" data-question-id="41" data-header-orientation="horizontal" data-table-form-status="created" style="width: 1190px"><colgroup><col style="width: 1190px"></colgroup><tbody><tr><th colspan="1" rowspan="1" colwidth="1190"><p style="text-align: left">Date de fin de validité de nettoyage (selon la validation )/ Cleaning end validation date (according validation )</p></th></tr><tr><td colspan="1" rowspan="1" colwidth="1190"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"><span data-question="7">Vérification de nettoyage</span></p><table data-table-form-id="42" data-question-id="42" data-header-orientation="horizontal" data-table-form-status="created" style="min-width: 50px"><colgroup><col style="min-width: 25px"><col style="min-width: 25px"></colgroup><tbody><tr><th colspan="1" rowspan="1"><p style="text-align: left">Nettoyage vérifié par /Cleaning checked by</p></th><th colspan="1" rowspan="1"><p style="text-align: left">Date</p></th></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"><span data-question="8">Statut Accessoire&nbsp; /Accessory status</span></p><table data-table-form-id="43" data-question-id="43" data-header-orientation="horizontal" data-table-form-status="created" style="min-width: 440px"><colgroup><col style="min-width: 25px"><col style="min-width: 25px"><col style="width: 340px"><col style="min-width: 25px"><col style="min-width: 25px"></colgroup><tbody><tr><th colspan="1" rowspan="1"><p style="text-align: left"><strong>Propre / <em>Clean</em></strong></p></th><th colspan="1" rowspan="1"><p style="text-align: left">Visa</p></th><th colspan="1" rowspan="1" colwidth="340"><p style="text-align: left"><strong>A nettoyer/ <em>To be cleaned</em>&nbsp;</strong></p></th><th colspan="1" rowspan="1"><p style="text-align: left">Date de re-nettoyage / Re cleaning date</p></th><th colspan="1" rowspan="1"><p style="text-align: left">Visa</p></th></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1" colwidth="340"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"><span data-question="9">Identification de l’utilisation /Use identification</span></p><table data-table-form-id="44" data-question-id="44" data-header-orientation="vertical" data-table-form-status="created" style="min-width: 422px"><colgroup><col style="min-width: 25px"><col style="width: 397px"></colgroup><tbody><tr><th colspan="1" rowspan="1"><p style="text-align: left"><strong>Date</strong></p></th><td colspan="1" rowspan="1" colwidth="397"><p style="text-align: left"></p></td></tr><tr><th colspan="1" rowspan="1"><p style="text-align: left"><strong>Production</strong></p></th><td colspan="1" rowspan="1" colwidth="397"><p style="text-align: left"></p></td></tr><tr><th colspan="1" rowspan="1"><p style="text-align: left"><strong>Produit / <em>Product</em></strong></p></th><td colspan="1" rowspan="1" colwidth="397"><p style="text-align: left"></p></td></tr><tr><th colspan="1" rowspan="1"><p style="text-align: left"><strong>Numéro de lot / <em>Batch number</em></strong></p></th><td colspan="1" rowspan="1" colwidth="397"><p style="text-align: left"></p></td></tr><tr><th colspan="1" rowspan="1"><p style="text-align: left">Nettoyage / Cleaning</p></th><td colspan="1" rowspan="1" colwidth="397"><p style="text-align: left"></p></td></tr><tr><th colspan="1" rowspan="1"><p style="text-align: left">Signature</p></th><td colspan="1" rowspan="1" colwidth="397"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"></p><p style="text-align: left"></p><table style="min-width: 150px"><colgroup><col style="min-width: 25px"><col style="min-width: 25px"><col style="min-width: 25px"><col style="min-width: 25px"><col style="min-width: 25px"><col style="min-width: 25px"></colgroup><tbody><tr><th colspan="1" rowspan="1"><p style="text-align: left"><strong>Données relatives au produit précédent/</strong> <strong><em>Previous product data</em></strong></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Désignation /</strong></p><p style="text-align: left"><strong><em>Designation</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>………………</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Numéro de lot/</strong></p><p style="text-align: left"><strong><em>Batch number</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>…………………..</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Date de l’opération/ <em>Operation date</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>…………….</strong></p></td></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Accessoire à nettoyer/</strong></p><p style="text-align: left"><strong><em>Accessory to be cleaned</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Date …………………</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Accessoire nettoyé/</strong></p><p style="text-align: left"><strong><em>Cleaned accessoy</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Date ……………….</strong></p></td></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Nettoyage effectué par /</strong></p><p style="text-align: left"><strong><em>Cleaning done by</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>……………………………………</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Signature / Visa</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>…………………………………</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Date de fin de validité de nettoyage (selon la validation )/ <em>Cleaning end validation date (according validation</em></strong> )</p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>…………………………………………………………………………………….</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr></tbody></table><table style="min-width: 100px"><colgroup><col style="min-width: 25px"><col style="min-width: 25px"><col style="min-width: 25px"><col style="min-width: 25px"></colgroup><tbody><tr><th colspan="1" rowspan="1"><p style="text-align: left"><strong>Nettoyage vérifié par /<em>Cleaning checked by</em> ………</strong></p></th><th colspan="1" rowspan="1"><p style="text-align: left"><strong>Date ……………………………………………………………….</strong></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Statut Accessoire /<em>Accessory status</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Propre /</strong></p><p style="text-align: left"><strong><em>Clean</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Visa…………………………………………..</strong></p></td></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>A nettoyer/</strong></p><p style="text-align: left"><strong><em>To be cleaned</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Date de re-nettoyage / <em>Re cleaning date</em> …………visa…………...</strong></p></td></tr></tbody></table><table style="min-width: 100px"><colgroup><col style="min-width: 25px"><col style="min-width: 25px"><col style="min-width: 25px"><col style="min-width: 25px"></colgroup><tbody><tr><th colspan="1" rowspan="1"><p style="text-align: left"><strong>Identification de l’utilisation /<em>Use identification</em></strong></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th><th colspan="1" rowspan="1"><p style="text-align: left"></p></th></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Date …………………………………………………………………………………………………………..</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Production</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Produit / <em>Product</em></strong></p><p style="text-align: left"><strong>………………………</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Numéro de lot / <em>Batch number</em></strong></p><p style="text-align: left"><strong>…………………………………</strong></p></td></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Nettoyage / C<em>leaning</em></strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"><strong>………………………………………………………………..</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr><tr><td colspan="1" rowspan="1"><p style="text-align: left"><strong>Signature</strong> …<strong>…………………………………………………………………………………………………………………………</strong></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td><td colspan="1" rowspan="1"><p style="text-align: left"></p></td></tr></tbody></table><p style="text-align: left"></p>