Harken Industrial IN1650, Инструкция по эксплуатации, Страница: 23 / 28

20/03/19 ENGLISH 23
With reference to the installation of the fall arrest system installed on
System serial number: Project:
Description of the building:
Address:
City: Country: Post code:
The INSTALLER
First name: Last name:
Legal representative of the company:
With headquarters at: City:
VAT number:
DECLARES
that the following systems and fastening devices used
HAVE BEEN INSTALLED CORRECTLY
• In compliance with the manufacturer's installation instructions, they have been installed in compliance with
the project drafted by the Arch./Eng./Surv.:
• They have been fastened to the specified structure, in compliance with the instructions supplied in the
calculation report drafted by the Arch./Eng./Surv.:
• They have been fixed as specified (e.g. numbers of bolts, correct materials, correct position/location).
• They have been commisioned in accordance with the manufacurer's information.
• They have been supplied with photographic information/documentation, especially where fixing (e.g. bolts)
and the under lying substrate are no longer visible after completing the installation.
• The fastening/anchoring element structural characteristics, their use instructions, the manuals of the different
products used, the installation layout and the documents/pictures taken and drafted during the installation
have been submitted to Mr./Mrs.
First name: Last name:
Role:
The compulsory SIGN
has been affixed near every access and/or onto the fall arrest system
System installation date The installer
(Stamp and Signature)
Manufacturer Product Model Type Tensile forces allowed
CORRECT INSTALLATION FORM