Table 2 – Inspection and Maintenance Log
Inspection Date:
Inspected By:
Components:
Inspection:
(See Section 3 for
Inspection Frequency
)
User
Competent
Person
Counterweight
Base
Inspect the Counterweight Base for structural defects or damage including, but
not limited to: bends, corrosion, and cracks.
Verify that there is no missing concrete from the Counterweight Boxes.
The Counterweight Base should be periodically greased using the grease fitting
(A) located on all M200 Jib Booms. See Figure 10 for reference.
Labels (Figure 12)
Verify that all labels are present and fully legible.
Fall Protection
System
Additional Fall Protection equipment (winches, SRDs, etc.) that is used with the
system should be installed and inspected per the manufacturer instructions.
Serial Number(s):
Date Purchased:
Model Number:
Date of First Use:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Corrective Action/Maintenance:
Approved By:
Next inspection due:
Date:
Содержание 3M Flexiguard M200
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