ST Quadrat LUX-top FSE 2003 Instructions De Montage Et D'utilisation page 46

Installation documentation
+ anchor points
Project data
Building/Construction project
Street/Post code/Town or City
Installation company anchor points
Company
Street/Post code/Town or City
Contact /Phone number
Installer
Date of completion
Details of the anchor devices and substrate
Lifeline system - Type/version
Year of construction/serial number (see SKE II)
Anchor points - Type/Model/height/installation variant
Fixing substrate/construction material
Structural element dimensions
Fixing materials, if applicable with details of torque
Roof layout/site sketch
Confirmations by the installation firms of anchor points/lifeline systems
A L
The LUX-top ® anchor devices were installed by a qualified person according to the installation instructions and
guidelines of ST QUADRAT Fall Protection S.A. and, when installed in Germany, in compliance with the national
technical approvals Z-14.9-727 and Z-14.9-789
The fixing materials used have been processed according to their manufacturers' guidelines (
substrate, proper cleaning of the drillholes, correct tightening torques + distances from edges, etc.
The installation and use instructions as well as the technical documentation have been handed
over to the customer so that they can make them available to the user.
A
nchor points:
L
ifeline system:
(Place, date)
This certificate is to be handed over to the owner.
Detailed installation and photo documentation can be drawn up at www.quick-doku.eu.
ST QUADRAT Fall Protection S.A. – Your competent partner for fall protection devices – www.lux-top-absturzsicherungen.de/en
FSE 2003 lifeline system
(if necessary on additional sheet)
(Stamp, signature)
page 20 Version 09/2020
Installation company Lifeline system
checking the
)