3M DBI-SALA Flexiguard M100 Instructions De Montage page 18

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Inspection Date:
Components:
Inspection:
Inspect the entire system for damage, deformation, corrosion, and rust. Look
Jib Boom
for cracks, bends, dents, or wear that could affect strength and operation of the
(Figure 2)
system.
Inspect all fasteners for damage or corrosion. Tighten as necessary.
Inspect all moving parts for chips, cracks, breaks, or worn areas that can cause
malfunction during operation.
Verify that all adjustment points (pins, bolts, tri-screws, adjusting screws, etc.)
are in full functional condition and are adjusted properly.
Fully lower the Jib Boom to take tension off the cable. Verify that the springs in
the Lower Pulley (I) are functional and free of rust or other obstructions. Verify
that the cable of the Adjustment Winch (G) has no frays or tearing. Ensure the
locking assembly engages.
Winch Assembly
Inspect the Winch Assembly per 3M instruction manual 8511324.
Rollers and Bearings
Grease the Rollers (A) and Bearings (B) of the Adjustable Upright Assembly for
(Figure 12)
B1 Jib Boom models. Ensure that all Roller locations are greased.
Anchor Connection
Ensure Anchor Connection Points are free of corrosion, cracks, or other
Points
imperfections that my cause malfunction during operation.
Labels
Verify that all labels are present and fully legible.
(Figures 13 and 14)
Fall Protection
Additional Fall Protection equipment that is used with the product should be
Equipment
installed and inspected per the manufacturer instructions.
Serial Number(s):
Model Number:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Table 2 – Inspection and Maintenance Log
Inspected By:
(See Section 5 for Inspection Frequency)
Date Purchased:
Date of First Use:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Competent
User
Person
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:

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