DELTA PLUS AM021 Notice D'utilisation page 96

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
96
RECORD CARD
...........................................................................






Checking of the product

Report / Comments
/ /
/ /
/ /

Date of next
inspection
EN362 EN354
⓭
SWIVEL CONNECTOR
& LANYARD
⓫
Stamp & Signature
UPDATE : 24/02/2014