
Page: 21
Rev Date: 9/1/2019
Doc Number: D1092
Initials: RF
AIR RESCUE SYSTEMS
ARV-QC INSPECTION LOG
Unit: __________________________________Agency: _________________________ Serial Number:__________
In-Service Date: _________________ Aircraft: ______________________________Part Number:__________
The Air Rescue Vest Quick Connect (ARV-QC) Victim Extrication Device (VED), should be inspected before and after each use. ARV-
QC’s found to be damaged, excessively worn, or subjected to shock-loading forces must be removed from service immediately.
DATE
INCIDENT
DESCRIPTION OF DAMAGE
INSPECTION
RESULTS
PASS/FAIL
INITIALS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
APPENDIX I