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REFERENCE
TYPE OF EQUIPMENT
The record card must be completed by the user before the product is first
used, then regularly updated and kept.
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
.........................................................................................................
⓬
Checking of the product
Filled in following equipment record shall be kept with these instructions:
Report / Comments
LV130 Anchorage device
⓮
/
/
/
/
/
/
Date of next
inspection
DATE : 15.06.2016
EN795
⓭
ANCHORAGE
DEVICES
⓫
Stamp & Signature
84/84
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