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)
LUX top
FALZ-PLUS II
®
Damage + defects found
actions, etc.)
Manufacturer: www.lux-top-absturzsicherungen.de
STANDARD: EN 795 Type A + CEN/TS16415
Product released for safe use
(description /
(yes/no)
Name + signature
Date of the next
of the competent person
inspection