MSA BEAMGLIDE 506252 Instructions D'utilisation page 42

P/N R621595
Model No.:
Serial No.:
Date Made:
INSP.
DESCRIPTION
POINT
1 Cross bar
2 Housing
3 Wheels
4 Wheel jam nut and spring pin
5 Hangar bracket
6 Bolts, nuts, cotter pins
7 Ball lock with lanyard
8 Bolts, nuts
9 Labels
10 Bushing
N/A Lubrication
N/A Wheel Movement
N/A Pivotable
Model No.:
Serial No.:
Date Made:
INSP.
DESCRIPTION
POINT
1 Cross bar
2 Housing
3 Wheels
4 Wheel jam nut and spring pin
5 Hangar bracket
6 Bolts, nuts, cotter pins
7 Bolts, nuts
8 Labels
9 Bushing
N/A Lubrication
N/A Wheel Movement
N/A Pivotable
(a) Optional simplified PASS/FAIL inspection format: Whenever an acceptable condition is found, the entry in the COND. and OVERALL ASSESS. columns may be left blank. Whenever
an unacceptable condition is found, enter "FAIL." The inspection may end upon detection of a single unacceptable condition.
(b) Blank copies of this LOG, with associated CHECKLIST and DIAGRAM, are available from MSA Call Toll Free (800) 845-1127.
Page 42
FORMAL INSPECTION NUMBER 1 - MODEL 506266 BALL LOCK PIN
Inspector:
Inspection Date:
Disposition:
QTY/
COND (a)
BGT
METALLIC PARTS
1
2
4
4
1
1
1
3
PLASTIC PARTS
1
1
FUNCTIONAL CHECKS
N/A
N/A
N/A
FORMAL INSPECTION NUMBER 1 - MODEL 506252 RED HEAD BOLT
Inspector:
Inspection Date:
Disposition:
QTY/
COND (a)
BGT
METALLIC PARTS
1
2
4
4
1
1
3
PLASTIC PARTS
1
1
FUNCTIONAL CHECKS
N/A
N/A
N/A
USER INSTRUCTIONS ■ BEAMGLIDE
OVERALL ASSESS. (a)
OVERALL ASSESS. (a)
TROLLEY
™
COMMENTS
COMMENTS
Copyright © 2014, MSA