28 | 29
The test list must be
completed in full by the
expert during the annual
inspection.
This test list does not
claim to cover all test
criteria and does not
relieve the expert from
his decision about the
overall condition.
TEST CARD
FOR ANNUAL MONITORING
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Date
Signature
Next
inspection
Reason for inspection
Type FALLSTOP® FS BK:
_____________________
Production date:
___________
/
____________
Device
Rope
Charge:
_______________
/
_______________
Device
Rope
Serial no.:
______________
/
______________
Device
Rope
Purchase date:
__________________________
Date of first Use:
________________________
Maximum life span until:
__________________
Summary of Contents for FALLSTOP FS BK
Page 1: ...EN 0158 EN 353 2 2002 User Manual FALLSTOP FS BK ...
Page 27: ...EN EU DECLARATION OF CONFORMITY ...
Page 31: ...EN Notes ...