Table 3 – Inspection and Maintenance Log
Inspection Date:
Inspected By:
Components:
Inspection:
(See Section 1 for
Inspection Frequency
)
User
Competent
Person
1
Davit Base Adapter
(Figure 2)
Inspect the Davit Base Adapter for cracks, dents, or deformities.
Inspect the entire unit for corrosion.
Labels Figure 5
Verify that all labels are securely attached and are legible (see
‘Labels’
)
PFAS and Other
Equipment
Additional Personal Fall Arrest System (PFAS) equipment (harness, SRL, etc) that are used
with the Davit Base Adapter should be installed and inspected per the manufacturer’s
instructions.
Serial Number(s):
Date Purchased:
Model Number:
Date of First Use:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
Corrective Action/Maintenance:
Approved By:
Date:
1 Competent Person:
One who is capable of identifying existing and predictable hazards in the surroundings or working conditions which are unsanitary,
hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them.
Содержание DBI SALA 8000124
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