ActSafe ACX - Page 73

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B. INSPECTION

DateDateDateDate

Approved for use Yes No

Name of Inspector

Stamp

and sign

DateDateDateDate

Approved for use Yes No

Name of Inspector

Stamp

and sign

DateDateDateDate

Approved for use Yes No

Name of Inspector

Stamp

and sign

DateDateDateDate

Approved for use Yes No

Name of Inspector

Stamp

and sign

DateDateDateDate

Approved for use Yes No

Name of Inspector

Stamp

and sign

DateDateDateDate

Approved for use Yes No

Name of Inspector

Stamp

and sign

73

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Pre-Use Checklist2 pages

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