Agreement
EQUIPMENT RECORD - INSPECTION SHEET for Personal Protective Equipment
For each component, subsystem or system a record must be kept!
Contact us:
L’ÉQUIPEUR SARL
1 rue Henri Moissan
69310 PIERRE-BENITÉ, FRANCE
Phone:
+33 4 72 82 87 21
e-mail:
1
Product: e.g. full body harness
2
Reason for entry; periodic examination or repair
Product name:
Product ID:
Product:
1
Serial number:
Rope ID:
Year of Manufacture:
Purchase date:
Date first put into use:
Periodic examination and repair history
Date:
Reason for entry:
2
Defects noted, repairs carried out etc.:
Name / signature of component person:
Periodic examination next due date:
