10.
INSTALLATION AND FINAL ACCEPTANCE PROTOCOL FOR
ANCHOR POINTS
(part 2 must be sent to the system manufacturer!)
Building / site
Address:
Remarks:
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
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Anchor plug:
Machine tool screws:
Setting data:
Bore Ø:
Bore depth:
Tightening torque:
Effect. Situation:
Remarks:
Drilling method:
Test device:
MAT-MA-0005-EN_D-BOLT
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Injection anchor:
□
mm
mm
Edge distance:
Centre distance :
¨
Rotary hammer
¨
Diamond drill
¨
Torque wrench
09/06/2017
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:
Nm
Cx:
Cy:
Sx:
Sy:
Drill holes cleaned
Hammer drill
System
Clamp connection:
Example:
If necessary use.
another sheet
¨
¨
yes
no
¨
¨
yes
no
¨
¨
wet
dry
¨
¨
yes
no
Page 17 of 18
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