10.
INSTALLATION AND FINAL ACCEPTANCE
REPORT FOR ANCHOR POINTS
(Part 1, retained by the operator)
Building/structural equipment
Address:
Remarks:
Sold-to party
Name:
Address:
Installer
Name:
Address:
Anchor device
Manufacturer:
Model/type:
Serial numbers:
Building feature
Component 1:
Component 2:
Material:
Mounting type:
□
Anchor:
Injection anchor:
Machine bolts:
Installation
Drill Ø:
Drilling depth:
Tightening torque:
Actual location:
Remarks:
Hammer drill
Drilling method:
Diamond drill
Torque wrench
Testing device:
MAT-MA-0038-EN ALUFIX
Order No.:
Type of building:
Roof design:
Anchor device:
Contact person:
Tel.:
Head installer:
Tel.:
Minimum component thickness:
Minimum component thickness:
Quality:
□
Screw anchor:
□
mm
Material:
mm
Min. component thickness:
Nm
Edge distance: Cx:
Axial spacing
Sx:
Drill holes cleaned
Shock
System
04/07/2017
□
Clamped connection:
Cy:
Sy:
yes no
yes no
wet dry
yes no
.
□
Example:
If necessary, use
an additional page
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