27
ITALIANO
DEUT
SCH
ENGLISH
FR
ANÇAIS
ESP
AÑOL
POR
TUGUÊS
РОС
СИЯ
PROJECT
PRODUCT
SERIAL No./YEAR
DATE OF PURCHASE:
DATE OF FIRST USE:
PERIODIC SYSTEM INSPECTION PERFORMED ON:
POINTS TO BE CHECKED
DEFECT FOUND
(Defect description/ Measures taken)
DOCUMENTATION
*
Instructions for assembly and use
*
Statement of correct installation
*
Reports on fastening elements
*
Photo gallery
VISIBLE PARTS OF THE ANCHOR DEVICE
*
No warping
*
No corrosion
*
Screw connections tight
*
Stability
*
Marking legible
ROOF WATERPROOFING
*
No damage
*
No corrosion
Inspection result:
The safety installation is compliant with the manufacturer’s instructions for assembly and use and with the state of the art. It is hereby
confirmed that the installation is reliable in terms of safety.
Remarks:
Expected date of next inspection:
Name and signature of the expert who is familiar with the safety system:
Name:
Signature:
INSPECTION REPORT
MANUFACTURER:
Rotho Blaas srl - Via Dell‘Adige 2/1 - 39040 Cortaccia (BZ) www.rothoblaas.com
Tel: +39 0471818400 - Fax: +39 0471 818484 - e-mail: [email protected]
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