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General Work Products LLC | 6000 Jefferson Hwy | Harahan, LA 70123
www.PalmerSafetyUS.com
•Fall Protection •Training •Netting •PPE
®
Inspection Log
SERIAL NUMBER:
MODEL NUMBER:
DATE PURCHASED:
DATE OF FIRST USE:
J
F
M
A
M
J
J
A
S
O
N
D
YR
YR
YR
YR
YR
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 annually. Competent Person to inspect and
initial.
This inspection log must be specific to one Roof Ridge Anchor. All inspection records must be made visible and available
to all users at all times.
If equipment fails inspection or is involved in a fall
REMOVE FROM SERVICE IMMEDIATELY
.
INSPECTION DATE
INSPECTION ITEMS NOTED
CORRECTIVE ACTION
MAINTENANCE PERFORMED
Approved by:
Approved by:
Approved by:
Approved by:
Approved by:
Approved by:
Safety Information
WARNING:
Failure to understand and comply with safety regulations may result in serious injury or death. Regulations
included herein are not all-inclusive, are for reference only, and are not intended to replace a Competent Person’s
judgment or knowledge of federal or state standards.
