Table 2 – Inspection and Maintenance Log
Inspection Date:
Inspected By:
Components:
Inspection:
(See Section 1 for
Inspection Frequency
)
User
Competent
Person
Vertical Mast and
Offset Arm
(Figure 2)
Inspect the Boom (B) and Vertical Mast (A) for structural defects or damage
including bends, corrosion, etc.
Inspect all system fasteners to ensure they are tight.
Periodically apply grease to the Grease Zerk (located at the bottom of the
Vertical Mast) to lubricate the internal Hitch Ball Pivot (C).
Fall Arrest
Connection Point
(Figure 2)
Verify that the Fall Arrest Connection Point (H) is free of corrosion, cracks, or
other imperfections that may cause malfunction during operation.
Guide Pulleys
(Figure 2)
Ensure that the Guide Pulleys (I) turn freely and are free of cracks and
abrasion.
Labels (Figure 11)
Verify that all labels are securely attached and are legible.
PFAS and Other
Equipment
Additional Personal Fall Arrest System (PFAS) equipment, winches, etc. that
are used with the Flexiguard SafRig Fall Arrest 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:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Summary of Contents for DBI SALA FlexiGuard SafRig
Page 2: ...2 2 B A E F G G H G G F C I I I I K K K J J J D L L L L N M O ...
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Page 5: ...5 9 1 2 3 1 4 Ï ÏóÏ A B A B ...
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