Inspection log card / log book
Anchor device for personal fall protection equipment
Type/Model
Serial number + year of manufacture
Installation date
Date of initial putting into service
Project / property name
Address of the building owner (user)
/ customer
Regular system check, inspection and repair
Date
Reason for entry
(regular inspection or repair)
ST QUADRAT Fall Protection S.A. – Your competent partner for fall protection – www.st-quadrat.lu
LUX top
KLICK II
®
Damage + defects found
actions, etc.)
Producer: www.st-quadrat.lu
STANDARD: EN 795 Type A+B + CEN/TS16415
Anchor point released for safe
(description /
use (yes/no)
Name + signature
Date of the next
of the competent person
inspection
Version 05/2015