
16
Rev.C1 of 210602
13. Checking Card
Notes
If equipment fails inspection
IMMEDIATELY REMOVE FROM SERVICE
.
User must inspect prior to
EACH
use.
Competent Person must do complete formal inspection at least 1 time per 6 month period.
Competent Person has to inspect and initial. Date of first use: ________________.
Product lifetime is 5 years as long as it passes pre-use and Competent Person inspections.
REMOVE FROM SERVICE
5 years after
date of first use, or, if not recorded, from date of manufacture. This inspection log must be specific to one Internal Shock Lanyard.
Separate inspection logs must be used for each Internal Shock Lanyard. All inspection records must be made visible and available
to all users at all times.
Checking Card
Reference
Serial number
Year of manufacture
Date of purchase
Date of first put into operation
User name
Comments
Inspection Record
Date
Reason for entry (periodic
examination or repair)
Competent person name +
signature
Comments
Next Due date for
periodic examination
NINGBO PALOMA FALL PROTECTION EQUIPMENTS CO., LTD
3
rd
Floor, Block 3, No.367 Buzheng East Road, Haishu District, Ningbo-315176, China
Tel:
+86-574-87641582
Fax:
+86-574-87641584
E-mail:
Website:
www.palomasafety.com