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EQUIPMENT RECORD

 

Product

 

:

 

Model & type/Identification

 

Trade Name

 

Identification number 

Manufacturer

 

Address

Tel, fax, email into use 

Year of manufacture

 

Purchase Date

Date first put into use 

Other relevant information (e.g. document number) 

PERIODIC EXAMINATION AND REPAIR HISTORY 

Date

 

Defects noted, repairs

Name and signature

Periodic examination

 

of competent person

next due date

 

Reason for entry

 

(periodic examination

or repair)

 

relevant information 

 

carried out and other

If equipment fails inspection IMMEDIATELY REMOVE FROM SERVICE.

 INSPECTION LOG
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 fill the initial in the below inspections log.

Date of First Use: __________________. Product lifetime is 10 years from Date of First Use, or, if not recorded, from Date of Manufacture, as long as it 

passes pre-use and Competent Person inspections. 

This inspection log must be specific to one 4-Person Rope HLL. Separate inspection logs must be used for each 4-Person Rope HLL. All inspection 

records must be made visible and available to all users at all times.  

PERSON INSPECTIONS
This inspection log must be specific to one 4-Person Rope HLL. Separate inspection logs must be used for each 4-Person Rope HLL. All inspection 

records must be made visible and available to all users at all times.

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HLL3001

MAL

TA D

YNAMIC

S LLC - HLL3001

Inspection Plate 

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