3M 2100180 Instrucciones De Uso página 13

Inspection Date:
Components: Inspection:
Roof Top Inspect the Roof Top Counterweight Anchor for damage: Look for cracks, dents, or deformities.
Look for bending or wear on the Attach Point (B).
Counterweight
Anchor (Figure 2)
Inspect the entire unit for corrosion.
Labels (Figure 9)
Verify that all labels are securely attached and are legible (see 'Labels')
PFAS and Other Additional Personal Fall Arrest System (PFAS) equipment (harness, SRL, etc) that are used with
the Anchorage System should be installed and inspected per the manufacturer instructions.
Equipment
Serial Number(s):
Model Number:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Table 2 – Inspection and Maintenance Log
Inspected By:
(See Section 1 for Inspection Frequency)
User
Date Purchased:
Date of First Use:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Competent
Person
1