ST QUADRAT Fall Protection S.A.
–
Your competent partner for fall protection
–
www.lux-top-absturzsicherungen.de
page 13 version 07/2019
Roof layout/Site sketch
(use additional sheet if necessary)
Object Data
Installation Company
Stabdurchmesser
Street/Zip Code/City
(City, date)
(Stamp, signature)
Confirmations by the installation company
Street/Zip Code/City
Company
Contact person/Phone
Installer
Details for the anchor point and fixing surface
Type/Model/ Overall height
Fixation (+declaration of torque)
Date of completion
Building/Construction project
Production year/Serial No.
Rod diameter
No. on site sketch
Fixing surface/Construction material
Structural member/Element dimensions
Installation documentation for anchor devices
This documentation must be handed over to the building owner.
A detailed installation documentation with pictures can be generated on the website
□
The LUX-top
®
anchor devices have been installed in accordance with the installation
guidelines issued by ST Quadrat.
□
The fixings used have been installed in accordance with the relevant manufacturer`s guidelines
(proper cleaning of the drillholes, distances from the edges, checking the substrate, etc.)
The layout and instructions for use as well as the technical documentation have been handed
over to the customer and are to be made available to the user.