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4
A Capital Safety Brand
Certi
fi
cate No. FM 39709
I S O
9 0 0 1
INSPECTION AND MAINTENANCE LOG
SERIAL NUMBER:
MODEL NUMBER:
DATE PURCHASED:
DATE OF FIRST USE:
INSPECTION DATE
INSPECTION ITEMS
NOTED
CORRECTIVE ACTION
MAINTENANCE
PERFORMED
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
These labels must be present and fully legible.
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www.EngineeredFallProtection.com
Tel: (314) 492-4422