IDENTITY CARD
PERIODIC EXAMINATION AND REPAIR HISTORY
1
2
DATE
REASON FOR
ENTRY PERIODIC EXAMINATION
OR REPAIR
3
4
SERIAL NUMBER
USER NAME
DATE OF MANUF.
DATE OF PUTTING INTO OPERATION
DATE OF PURCHASE
IT IS THE RESPONSIBILITY OF THE USER ORGANISATION TO PROVIDE THE IDENTITY CARD AND TO FILL IN THE DETAILS REQUIRED.
THE IDENTITY CARD SHOULD BE FILLED IN BEFORE THE FIRST USE BY A COMPETENT PERSON, RESPONSIBLE INTHE USER ORGANIZATION FOR PROTECTIVE EQUIPMENT.
ANY INFORMATION ABOUT THE EQUIPMENT LIKE PERIODIC INSPECTIONS, REPAIRS, REASONS OF EQUIPMENT'S WITHDRAWN FROM USE SHALL BE NOTED INTO THE IDENTITY CARD BY A COMPETENT PERSON.
THE IDENTITY CARD SHOULD BE STORAGED DURING A WHOLE PERIOD OF EQUIPMENT UTILIZATION.
DO NOT USE THE EQUIPMENT WITHOUT THE IDENTITY CARD.
ALL RECORDS IN THE IDENTITY CARD CAN BE FILLED IN ONLY BY A COMPETENT PERSON.
REF. NUMBER
LENGTH
DEFECTS NOTED,
REPAIRS CARRIED OUT
AND OTHER REVELANT INFORMATIONS
NAME AND SIGNATURE
OF COMPETENT PERSON
PERIODIC
EXAMINATION
NEXT DUE DATE
GUIDED-TYPE FALL ARRESTER ON FLEXIBLE ANCHORAGE LINE
IDENTITY CARD
PERIODIC EXAMINATION AND REPAIR HISTORY
1
2
DATE
REASON FOR
ENTRY PERIODIC EXAMINATION
OR REPAIR
3
4
SERIAL NUMBER
USER NAME
DATE OF MANUF.
DATE OF PUTTING INTO OPERATION
DATE OF PURCHASE
IT IS THE RESPONSIBILITY OF THE USER ORGANISATION TO PROVIDE THE IDENTITY CARD AND TO FILL IN THE DETAILS REQUIRED.
THE IDENTITY CARD SHOULD BE FILLED IN BEFORE THE FIRST USE BY A COMPETENT PERSON, RESPONSIBLE INTHE USER ORGANIZATION FOR PROTECTIVE EQUIPMENT.
ANY INFORMATION ABOUT THE EQUIPMENT LIKE PERIODIC INSPECTIONS, REPAIRS, REASONS OF EQUIPMENT'S WITHDRAWN FROM USE SHALL BE NOTED INTO THE IDENTITY CARD BY A COMPETENT PERSON.
THE IDENTITY CARD SHOULD BE STORAGED DURING A WHOLE PERIOD OF EQUIPMENT UTILIZATION.
DO NOT USE THE EQUIPMENT WITHOUT THE IDENTITY CARD.
ALL RECORDS IN THE IDENTITY CARD CAN BE FILLED IN ONLY BY A COMPETENT PERSON.
REF. NUMBER
LENGTH
DEFECTS NOTED,
REPAIRS CARRIED OUT
AND OTHER REVELANT INFORMATIONS
NAME AND SIGNATURE
OF COMPETENT PERSON
PERIODIC
EXAMINATION
NEXT DUE DATE
GUIDED-TYPE FALL ARRESTER ON FLEXIBLE ANCHORAGE LINE
SafetyLiftinGear.com
Unit R1D Rockingham Gate Poplar Way
West Cabot Park Bristol BS11 0YW
Tel: 0808 123 69 69 Fax: 0117 9381 602
[email protected]
SafetyLiftinGear.com
Unit R1D Rockingham Gate Poplar Way
West Cabot Park Bristol BS11 0YW
Tel: 0808 123 69 69 Fax: 0117 9381 602
[email protected]
Notified body, at which the European certification was Iissued
and which supervises the production of the equipment:
APAVE SUDEUROPE SAS - 8 rue Jean-Jacques Vernazza -
CS-60193 – 13322 MARSEILLE Cedex 16, France - No. 0082
PRODUCENT: PROTEKT, 93-403 LODZ, ul. Starorudzka 9, POLAND,
TEL: (48 42) 680 20 83, FAX: (48 42) 680 20 93, www.protekt.com.pl
Notified body, at which the European certification was Iissued
and which supervises the production of the equipment:
APAVE SUDEUROPE SAS - 8 rue Jean-Jacques Vernazza -
CS-60193 – 13322 MARSEILLE Cedex 16, France - No. 0082
PRODUCENT: PROTEKT, 93-403 LODZ, ul. Starorudzka 9, POLAND,
TEL: (48 42) 680 20 83, FAX: (48 42) 680 20 93, www.protekt.com.pl
