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Part Number
Comments
Inspector Name
Date
Inspection:
Official periodic inspection must be made at least annually. The inspection must be performed by a qualified
person other than the intended user. If severe weather or conditions exist then inspections must be carried
out more frequently. All inspection results must be logged in the space provided above.
1.
Inspect Swivel to make sure it is flush with mounting surface.
2.
Ensure all labeling is affixed to the unit.
3.
Ensure the unit can rotate 360° and D-ring can flip from side to side.
4.
When reusing a previously drilled hole, inspect for debris or wallowing.
5.
Record inspection results in the space provided above.
*If inspection reveals any damage that could affect the strength or operation of this device,
inadequate maintenence, or an unsafe condition, then proper disposal is required.
The anchorage connector must be rendered unusable and then properly discarded.
MAINTENANCE, CLEANING AND STORAGE
Cleaning periodically will prolong the life and proper functioning of the product. The frequency
of cleaning should be determined by inspection and by severity of the environment. Clean with
compressed air and/or a stiff brush using plain water or a mild soap and water solution. Do not use
any corrosive chemicals that could damage the product. Wipe all surfaces with a clean, dry cloth
and hang to dry, or use compressed air. When not in use, store anchorage connectors in a cool, dry,
clean environment, out of direct sunlight and free of corrosive or other degrading elements.
INSPECTION AND MAINTENANCE LOG
MODEL NUMBER:
DATE OF MANUFACTURE:
Page 8
Werner Co.
93 Werner Road
Greenville, PA 16125
1(724) 588-2000
1(888) 523-3371 toll free
1(888) 456-8458 fax
P/N 109446-01 REV C 5/21