3M 2104704, User Instruction Manual

Page: 11 / 68

Table 2 – Inspection and Maintenance Log
Inspection Date: Inspected By:
Components: Inspection:
(See Section 1 for Inspection Frequency )
User
Competent
Person
1
Sliding Beam Anchor
(Figure 2)
Inspect the Sliding Beam Anchor damage: Look for cracks, dents, or deformities.
Inspect for bending or wear on the Support Tube (A), Connector Ring (B), Connector Ring
Bracket, Hook Ends (C), and Tab Locks (D).
Inspect for any missing parts (End Rivets, Center Screw, etc.).
Inspect the entire unit for corrosion.
Inspect the wear pads to ensure they have not worn to a point where the hook ends will be in
direct contact with the beam flange.
Inspect the Support Bar (A) Teeth for wear or damage. Ensure that the locking pawl will fully
engage each tooth automatically upon release of the Tab Locks (D).
Ensure the Tab Locks (D) operate freely, spring back fully, and automatically engage with the
Support Bar (A) Teeth.
Labels (Figure 10)
Verify that all labels are present, securely attached and are legible (see ‘Labels’ )
PFAS and Other
Equipment
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.
Serial Number(s): Date Purchased:
Model Number: Date of First Use:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
Corrective Action/Maintenance: Approved By:
Date:
1 Competent Person:
One who is capable of identifying existing and predictable hazards in the surroundings or working conditions which are unsanitary,
hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them.