MSA V-SHOCK Serie Manuel D'utilisation page 23

Inspection Checklist
Model Number:
Date:
Date of Manufacture:
Date of First Use:
# Description
1 Load indicator
2 Pin connector
3 Bracket
4 Housing / Fasteners
5 Labels
6 Energy absorber
pouch
7 Lifeline
8 Snaphook
Lock on (ensure
device locks)
US
Good— Good— Good—
Safe for Safe for Safe for
Use Use Use
V-SHOCK PFL
V-SHOCK & V-SHOCK EDGE PFL
7 Pre-Use Checks and Periodic Examinations
Serial Number:
Inspector (Name / Signature):
Date of Purchase:
Date Due for Next Periodic Inspection:
Good— Good— Good—
Safe for Safe for Safe for
Use Use Use
Damaged, Worn,
Altered, Missing—
Remove from Service Comments
V-SHOCK EDGE PFL
24