viii ) Pictogram to indicate the necessity for user to read the instruction for use
INSTRUCTIONS FOR PERIODIC EXAMINATIONS
It is necessary to carry out regular periodic examinations. The safety of the users depend upon the
continued efficiency and durability of the equipment.
The personal protective equipment shall be examined at least every 12 months. The periodic
examination can only be carried out by the manufacturer or his authorized representative. The
comments should be included in the check card of the equipment. After the periodic
examination, the next due date for periodic examination will be determined.
During periodic inspection it is necessary to check the legibility of the equipment marking.
CHECK CARD
The check card should be filled in before the first use.
All information about the personal protective equipment ( name, serial number, date of purchase and
date of putting into operation, user name, periodic examination and repair history, and next periodic
examination date ) shall be noted into de check card.
All records in the check card can only be filled in by a competent person.
Do not use the personal protective equipment without a duly filled check card.
EQUIPMENT RECORD
REFERENCE
SERIAL, LOT NUMBER
YEAR OF MANUFACTURE
IT CAN BE USED WITH
DATE OF PURCHASE
DATE OF FIRST PUT INTO USE
USER NAME
COMMENTS
PERIODIC EXAMINATIONS AND REPAIR
HISTORY
DATE
REASON FOR
ENTRY ( Periodic
examination/Repair)
COMPETENT
PERSON Name
+ Signature
COMMENTS
NEXT DUE
DATE FOR
Periodic
Examination
