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Inspection log card / log book
Anchor device for personal fall protection equipment
Type/Model
Batch number / year of manufacture
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 entry
(regular inspection or repair)
ST QUADRAT Fall Protection S.A. – your competent partner for fall protection solutions – www.lux-top-absturzsicherungen.de
LUX top
mobilE
®
Damage + defects found
actions, etc.)
Page 12 valid from 02/18
Manufacturer: www.lux-top-absturzsicherungen.de
STANDARD: EN 795:2012 Type E
Released for safe use (yes/no)
(description /
Version 02_2018
Name + signature
Date of the next
of the competent person
test
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