Inspection Log
Date of First Use: __________________.
Product lifetime is indefinite, as long as it passes pre-use and Competent Person inspections. User must
inspect prior to EACH use. Competent Person other than user must complete formal inspection at least
every 12 months. Competent Person to inspect and initial.
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90924 (Rev. A)
SSMR G-Rail Base
Part #: 15219
DOM:
Serial #:
This inspection log must be specific to one SSMR G-Rail Base. Separate inspection logs must be used
for each SSMR G-Rail Base. All inspection records must be made visible and available to all users at
all times.
If equipment fails inspection IMMEDIATELY REMOVE FROM SERVICE.
