製造年份
year of manu.
保險金額
sum insured
維護及保用期情況
maintenance & un-expiredguarantee perio
說明：（1）主要技術參數指機器的輸出功率、速度、容量、負荷等，如屬電器設備，應說明電壓、電流量、轉速，如屬蒸氣設備，應說明燃料、壓力和溫度。
（2）維護情況指自行維護（a）、由指定廠家維護（b）、由生產廠家維護（c）。
note:(1)major technical parameter:output, speed, capacity, loading etc. and for electrical equipment, voltage, amperage, cycles. and for steam equipment, fuel, pressure and temperature.
(2)maintenance: by insured(a), by contractor(b), by manufacturer(c).
9.以前這些機器發生是否發生過損壞？（以往5年） 是 否
previous losses experience(last 5 years) yes no
項目item
損壞時間breakdown timed
損失金額loss amount
10.有無制定操作規程？ 是 否
any operating system? if yes, please state. yes no
11.操作人員operator:
11.1 新員工上崗前是否進行崗位教育和培訓？ 是 否
were the new operator trained before taking up new post? yes no
11.2 操作人員是否持證上崗？ 是 否
are the operator working with qualitication certificate? yes no