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Inspection Date

Inspection Items Noted

Corrective Action

Maintenance Performed

Approved By:

Approved By:

Approved By:

Approved By:

Approved By:

Approved By:

Approved By:

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EXAMPLE OF TAGS

FOR DROPS GREATER THAN 6’

ANSI/ASSE Z359.1

MATERIAL: NYLON / POLYESTER ENERGY
ABSORBER. ARRESTING FORCE 900 LBS. 
TO 1800 LBS MAX PLUS 52” MAXIMUM EXTENSION. RIG
LANYARD TO ALLOW A MAXIMUM FREE FALL DISTANCE
OF NOT MORE THAN 12’ OR TO CONTACT A LOWER
LEVEL. 

CONNECTORS AND ANCHORAGE POINTS MUST BE
COMPATIBLE AND ABLE TO SUPPORT M.B.S. 5000 LBS. 

DO NOT ALLOW SYNTHETIC LANYARD TO CONTACT
SHARP OR ABRASIVE SURFACES, SPARKS OR
TEMPERATURES ABOVE 180 DEGREES. 

SNAP HOOKS WITH GATE OPENINGS LARGER THAN 1”
MUST NOT BE CONNECTED TO D-RINGS ON HARNESSES
AND BELTS. 

REMOVE FROM SERVICE IF ANY DAMAGE IS DETECTED. 

WARNING

MANUFACTURER’S INSTRUCTIONS SUPPLIED WITH THIS
PRODUCT AT TIME OF SHIPMENT MUST BE FOLLOWED.
FAILURE TO DO SO COULD RESULT IN SERIOUS INJURY
AND/OR DEATH. 

DO NOT EXPOSE TO CHEMICALS AND CORROSIVES
WHICH WOULD WEAKEN MATERIALS AND HARDWARE,
CONSULT MANUFACTURER, IF IN DOUBT. 

CONTACT MANUFACTURER IF INSTRUCTIONS ARE
NEEDED. 

ULTRA-SAFE, INC. 

MANUFACTURED IN THE U.S.A. 

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Summary of Contents for 96516HD

Page 1: ...sa requirementthatthefallarrestsystembe usedanytimeaworkingheightofsixfeet ormoreisreached Workingheightis definedasthedistancefromthewalking workingsurfacetoagradeorlowerlevel THE FOLLOWING IS RECOMMENDED AS PART OF FALL ARREST SYSTEM Note See additional instructions on buckle adjustment for proper fit Maximum free fall distance six feet or maximum fall arrest force of 1800 lbs Avoid lower level ...

Page 2: ... level horizontal to prevent the anchorage connector from sliding down an incline when in use which could cause serious injury to the user CONNECTING TO ANCHORAGE OR ANCHORAGE CONNECTOR Always connect the energy absorber end of the lanyard to the body support harness Connect the lanyard end to the anchorage or anchorage connector Component style energy absorbers should be connected to the body sup...

Page 3: ...hould roll freely Check all parts especially corners and attachments points for wear and cracks 4 Destroy and replace all worn or damaged Ultra Safe equipment If evidence of excessive wear deterioration or mechanical malfunction is observed replace the equipment immediately Never work with worn or damaged Ultra Safe equipment Using damaged or worn equipment can cause injury or death 5 The inspecto...

Page 4: ...E TO SUPPORT M B S 5000 LBS DO NOT ALLOW SYNTHETIC LANYARD TO CONTACT SHARP OR ABRASIVE SURFACES SPARKS OR TEMPERATURES ABOVE 180 DEGREES SNAP HOOKS WITH GATE OPENINGS LARGER THAN 1 MUST NOT BE CONNECTED TO D RINGS ON HARNESSES AND BELTS REMOVE FROM SERVICE IF ANY DAMAGE IS DETECTED WARNING MANUFACTURER S INSTRUCTIONS SUPPLIED WITH THIS PRODUCT AT TIME OF SHIPMENT MUST BE FOLLOWED FAILURE TO DO SO...

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