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REFERENCE
TYPE OF EQUIPMENT ⓬
The record card must be completed by the user before the product is first used, then regularly
updated and kept. ⓮
To be exclusively used as described in the product data sheet.
COMPANY
USER NAME
BATCH / SERIAL N°
DATE OF PRODUCTION
DATE OF 1st USE
DATE OF PURCHASE
The product has to be checked at least once a year by qualified personnel (e.g. manufacturer).
Filled in following equipment record shall be kept with these instructions:
Date of
inspection
1
2
3
4
5
6
7
8
9
10
B.P. 140 - ZAC de La Peyrolière
84405 APT CEDEX - FRANCE
RECORD CARD
...........................................................................
EN795 : 2012 type B + C (HYBRID)
CEN TS 16415 : 2013 2013 Type B + C
Checking of the product
Report / Comments
LV301 Anchorage device
LV301
(HYBRID)
/
/
/
/
/
/
Date of next
inspection
EN795 –
⓭
CENTS 16415
ANCHORAGE
DEVICES
⓫
Stamp & Signature
13.09.2016
15/15
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