Instruction Manual
BUILT TO LAST | MANUFACTURED TO COMPLY | DESIGNED TO PROTECT
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INSPECTION AND MAINTENANCE LOG
COMPONENTS:
ANCHORAGE:
PASS FAIL
INSPECTION DATE: INSPECTED BY:
Inspection: Prior to installation and prior to each use /
Inspection by a competent person is required every 6
months.
Inspect the Anchor for damage: Look for cracks, dents,
or deformities.
Other.
Inspect the entire unit for corrosion.
Inspect for any other unconformity.
Inspect for any missing parts (fasteners, etc.)
Inspect for permanent deformation.
LABELS
Inspect the Anchor for legible labels.
Additional Personal Fall Arrest System (PFAS) equipment
(harness, SRL, etc) that are used with the Anchorage
System should be installed and inspected per the
manufacturer’s instructions.
PFAS AND
OTHER
EQUIPMENT
INSPECTION DATE:
MODEL NUMBER:
INSPECTED BY:
DATE OF FIRST USE:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Approved by:
Approved by:
Approved by:
Approved by:
Approved by:
Date:
Date:
Date:
Date:
Date: