MANIFACTURER: Rotho Blaas srl - Via Dell' A dige 2/1 - 39040 Cortaccia (BZ) www.rothoblaas.com
Tel: +39 0471818400 - Fax: +39 0471 818484 - e-mail: info@rothoblaas.com
DATE OF PURCHASE:
POINTS TO BE CHECKED
Instructions for assembly and use
*
Statement of correct installation
*
Reports on fastening elements
*
Photo gallery
*
No warping
*
No corrosion
*
Screw connections tight
*
Stability
*
Marking readable
*
No damage
*
No corrosion
*
Inspection result:
The safety installation is compliant with the manufacturer's instructions for assembly and use and with the state of the art. It is hereby confirmed
that the installation is reliable in terms of safety.
Remarks:
Expected date of next inspection:
Name and signature of the expert who is familiar with the safety system:
Name:
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INSPECTION REPORT
VERBALE DI ISPEZIONE
PRODUCT
PERIODIC SYSTEM INSPECTION PERFORMED ON:
DOCUMENTATION
VISIBLE PARTS OF THE ANCHOR DEVICE
ROOF WATERPROOFING
PROJECT
SERIAL No./YEAR
DATE OF FIRST USE:
(Defect description/ Measures taken)
Signature:
DEFECT FOUND