Deltaplus AN Série Notice D'utilisation page 112

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).

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
...........................................................................






Checking of the product
Filled in following equipment record shall be kept with these instructions:

Report / Comments
RETARCTABLE LARGE ANxxx
/ /
/ /
/ /

Date of next
inspection
UPDATE : 10.06.2016
EN360
⓭
RETRACTABLE TYPE
FALL ARRESTER
⓫
Stamp & Signature
112/112