ST Quadrat LUX-top FSE 2003 Instructions De Montage Et D'utilisation page 51

Inspection Log Card / Log Book
Anchor device for personal fall protection equipment
Type/Model
Designation/ denomination lifeline
system
Year of construction/serial number
(see SKE II)
Installation date
Date of the initial putting into service
Project / property name
Address of the owner (user) /
customer
Regular system check, inspection and repair
Date Reason for processing
(regular inspection or repair)
Stainless steel lifeline system
Rope gliders with the serial number _____________
ST QUADRAT Fall Protection S.A. – Your competent partner for fall protection devices – www.lux-top-absturzsicherungen.de/en
LUX top FSE 2003
®
Damage + defects found
(description / actions, etc.)
Manufacturer: www.lux-top-absturzsicherungen.de/en
STANDARD: EN 795 Type C + CEN/TS16415
Released for safe use (yes/no) Name + signature of the
competent person
Date of the next
test
Version 09/2020