SKYLOTEC SECUPIN SPA-TYP-1-L Mode D'emploi page 27

12 INSTALLATION AND FINAL ACCEPTANCE PROTOCOL FOR
ANCHOR POINTS
(part 2 must be sent to the system manufacturer!)
Building / site
Address:
Comments:
Client
Name:
Address:
Installer
Name:
Address:
Anchoring device
Manufacturer:
Model/type designation:
Serial numbers:
Building part
Component 1:
Component 2:
Construction material:
Type of fastening
□
Anchor plug:
Machine tool screws:
Setting data: Bore Ø:
Bore depth:
Tightening torque:
Effect. Situation:
Remarks:
Drilling method:
Test device:
MAT-MA 0014_GB SECUPIN
□
Injection anchor:
□
mm
mm
Nm
Edge distance:
Centre distance :
¨
Rotary hammer
¨
Diamond drill
¨
Torque wrench
Order no.:
Type of building:
Type of roof:
Anchoring device:
Contact person:
Tel.:
Fitter:
Tel.:
Minimum component thickness:
Minimum component thickness:
Quality:
□
Screw anchor:
Material:
Minimum component thickness:
Cx: Cy:
Sx: Sy:
Drill holes cleaned
Hammer drill
System
22/02/2018
Clamp connection:
Example:
If necessary use.
another sheet
¨ ¨
yes no
¨ ¨
yes no
¨ ¨
wet dry
¨ ¨
yes no
page 12 of 14
□