3M DBI SALA LAD-SAF X3 Instructions D'utilisation page 13

INSPECTION AND MAINTENANCE LOG, LAD-SAF™ X3 DETACHABLE CABLE SLEEVE
SERIAL NUMBER:
MODEL NUMBER:
DATE PURCHASED:
INSPECTION DATE
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
INSPECTION ITEMS
NOTED
DATE OF MANUFACTURE:
CORRECTIVE ACTION MAINTENANCE
PERFORMED