10.
REPORTS
(part 1, remains with the operator)
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:
Injection anchor:
□
Machine tool screws:
Setting data:
Bore Ø:
Bore depth:
Tightening torque:
Effect. Situation:
Edge distance:
Centre distance:
Remarks:
Drilling method:
Test device:
MAT-MA-0007 MOBILFIX
□
Screw anchor:
mm
mm
Nm
Cx:
Sx:
Rotary hammer
Diamond drill
Torque wrench
Stand: 08/11/2016
Order no.:
Type of building:
Type of roof:
Anchoring device:
Contact person:
Tel.:
Fitter:
Tel.:
Minimum component thickness:
Minimum component thickness:
Quality:
□
Clamp connection:
Material:
Minimum component thickness:
Cy:
Sy:
Drill holes cleaned
Hammer drill
System
□
Example:
If necessary use.
another sheet
no
yes
yes
no
wet
dry
yes
no
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