ACCEPTANCE LOG
PROJECT:
ORDER NUMBER:
CLIENT:
Specialist:
H
Company address:
CONTRACTOR:
Specialist:
H
Company address:
INSTALLATION OF EAP / ANCHORAGE POINTS:
(
Single anchorage points (EAP)
or
anchorage points
of a horizontal lifeline system in accordance with EN 795:2012 TYP C)
Specialist:
H
Company address:
FASTENER / PHOTO DOCUMENTATION
PRODUCT:
units
Year of manufacture / serial number:
(Type designation EAP / anchorage point)
INSTALLATION SUBSTRATE:
(e.g.: solid concrete quality: C16/20; timber rafter dimensions; for tin roofs: roof manufacturer, profile, material, sheet metal thickness, etc.)
Date: Location:
Dowel
type:
BEF / adhesive? /
designation
Setting
depth:
[mm]
Drill bit Ø:
[mm]
Tightening
torque:
Photos:
(storage
location)
Nm
Nm
The undersigned installation company warrants that the dowels have been properly processed in accordance with the dowel manufacturer's
guidelines. (Proper cleaning of bores, compliance with curing times and processing temperature, edge spacing of the dowels, inspection of
the substrate, etc.)
OPTIONAL: when setting up a horizontal lifeline system in accordance with EN 795:2012 TYP C
INSTALLATION - HORIZONTAL LIFELINE SYSTEM:
Specialist:
H
Company address:
DESIGNATION - HORIZONTAL LIFELINE SYSTEM: cable system no.:
Client accepts the performances of the contractor. The instructions for installation and use, fastener / photo
documentations and test sheets have been transferred to the client (building owner) and have been made available to the
user. When accessing the roof securing system, you must document the positions of the anchorage devices by means of
diagrams (e.g. top view of the roof).
The expert fitter familiar with the safety system confirms that the installation work has been executed
properly, in accordance with the state of the art, and in accordance with the manufacturer's instructions for
installation and use. The safety specifications for reliability are confirmed by the installation company.
Transfer of:
(e.g: travelling eyebolts, personal protective equipment PPE, fall arrest devices HSG, storage cabinet, etc.)
units
units
units
units
Comments:
Name:
Client
Fitter - EAP/ anchorage points
Fitter - horizontal lifeline system
Date,
Signature
