Table 1 – Inspection and Maintenance Log
Serial Number(s):
Date Purchased:
Model Number:
Date of First Use:
Inspection Date:
Inspected By:
Component:
Inspection:
6HH6HFWLRQIRU
Inspection Frequency
Pass
Fail
65/
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,QVRXVLQJ$IRUGLVWRUWLRQFUDFNVRURWKHUGDPDJH
,QVSHFWWKH6ZLYHO%DQG6ZLYHO(\H&RU,QWHJUDO&RQQHFWRU'IRU
GLVWRUWLRQFUDFNVRURWKHUGDPDJH7KH6ZLYHOVKRXOGEHDWWDFKHGVHFXUHO\WR
WKH65/EXWVKRXOGSLYRWIUHHO\7KH6ZLYHO(\HRU,QWHJUDO&RQQHFWRUVKRXOG
URWDWHIUHHO\LQWKH6ZLYHO
7KH:HE/LIHOLQH(VKRXOGSXOORXWDQGUHWUDFWIXOO\ZLWKRXWKHVLWDWLRQRU
creating a slack line condition.
(QVXUHWKH65/ORFNVXSZKHQWKH/LIHOLQHLVMHUNHGVKDUSO\/RFNXSVKRXOGEH
positive with no slipping.
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,QVSHFWWKHHQWLUH65/IRUVLJQVRIFRUURVLRQ
:HE/LIHOLQH
'LDJUDP
,QVSHFWWKHZHEOLIHOLQHIRUFRQFHQWUDWHGZHDUIUD\HGVWUDQGVEURNHQ\DUQ
EXUQVFXWVDQGDEUDVLRQV7KHOLIHOLQHPXVWEHIUHHRINQRWVWKURXJKRXWLWV
OHQJWK,QVSHFWIRUH[FHVVLYHVRLOLQJSDLQWEXLOGXSDQGUXVWVWDLQLQJ,QVSHFW
for chemical or heat damage indicated by brown, discolored, or brittle areas.
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splinters and slivers on the lifeline surface.
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,QVSHFWWKH/RDG,QGLFDWRUWRGHWHUPLQHLILWKDVEHHQDFWLYDWHG7KHUHVKRXOG
be no evidence of elongation and the cover should be secure and free of tears
or other damage.
(QG&RQQHFWRUV
7DEOH
7DEOHLGHQWL¿HVWKH(QG&RQQHFWRUVWKDWVKRXOGEHLQFOXGHGRQ\RXU
1DQR/RN65/PRGHO,QVSHFWRRNV&DUDELQHRRNV
,QWHUIDFHVHWFIRUVLJQVRIGDPDJHFRUURVLRQDQGSURSHUZRUNLQJFRQGLWLRQ
:KHUHSUHVHQW*DWHVVKRXOGRSHQFORVHORFNDQGXQORFNSURSHUO\DQG
/RFNLQJ%XWWRQVDQG/RFNLQJ3LQVVKRXOGIXQFWLRQFRUUHFWO\
Diagram 1 — SRL Inspection
C
D
%
%
A
A
(
(
Diagram 2 — Web Lifeline
Cut
Frayed
+HDYLO\
6RLOHG
Welding
%XUQV
Diagram 3 — Load Indicator
7RUQRU
%URNHQ
Cover
Deployed and
7RUQ)UD\HG
Webbing
Corrective Action/Maintenance:
$SSURYHG%\
'DWH
Corrective Action/Maintenance:
$SSURYHG%\
'DWH
Corrective Action/Maintenance:
$SSURYHG%\
'DWH
Corrective Action/Maintenance:
$SSURYHG%\
'DWH
Summary of Contents for Hot Work NANO-LOK SRL 3101521
Page 3: ...3 2 B A D E F G H C D D F G H A B A D F G H 3 4 X X ...
Page 4: ...4 5 A B C 6 A B C D E F G 7 8 1 B A B A Delta III ExoFit NEX 2 C C D 3 E A C 4 F D D ...
Page 5: ...5 9 1 A B B A Delta III ExoFit NEX 2 D D C E 3 G H F 4 F A 5 F E I G E 6 D D C A D D K K C J ...
Page 6: ...6 10 E D A D G B F C F 11 12 13 A B 14 ...
Page 7: ...7 15 1 A B 2 C D D 3 E G F 4 A E 5 E F 6 D C A ...
