48
ACCEPTANCE PROTOCOL
VERTICAL WIRE ROPE SYSTEM TEUFELBERGER SKC EVO
SYSTEM ACCORDING TO EN 353-1:2014+A1:2017
Client:
Project:
Order no.:
System no.:
Address:
Contact person:
Phone:
E-mail:
Length of the wire rope:
Upper attachment
Lower attachment
Intermediate rope bracket
Number of users:
System sign:
installed
Quantity (required every 10 m)
Clamping element
With carabiner
Preload in kg
other
Contractor:
Address:
Contact person:
E-mail:
Installation company for the wire rope system:
Company:
Address:
Contact person:
E-mail:
Installation company for the substructure:
Company:
Address:
Contact person:
E-mail:
Design of the wire rope system:
Substrate fastening incl. photo documentation:
Upper attachment
Lower attachment
Intermediate rope bracket
Clamp for ladder rungs
Clamp for ladder rungs
Clamp on ladder rung
on a steel structure
on a steel structure
on a steel structure
on concrete
on concrete
on concrete
Photo no.
Photo no.
Photo no.
Mounting on steel, concrete, wood, etc.: (explanation, concrete grade, steel dimensions, etc.)
Static proof available?
The undersigned installation company assures the proper processing and installation of the wire rope system.
The Client accepts the Contractor's work. The instructions for use, documentation of the fastenings (possibly with photos) and inspection
sheets were handed over to the Client and are to be made available to the user.
The competent person, who is familiar with the safety system, confirms that the installation work has been carried out professionally,
according to the state of the art, and in accordance with the manufacturer's instructions for use. The reliability in terms of safety is
confirmed by the installation company.
Handover of personal protective equipment:
Fall arrester TEUFELBERGER SKC EVO:
Safety harness:
Other:
Other:
Piece
Piece
Piece
Piece
Client
Date, signature
Installation company for the wire rope
system:
Date, signature
Installation company for the wire rope
system:
Date, signature
Phone:
Phone:
Phone:
Содержание SKC EVO
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