3M DBI SALA 6100562 Manual Del Usuario página 13

Inspection Date:
Components: Inspection:
Ladder Anchor
Inspect the Ladder Anchor damage: Look for cracks, dents, or deformities. Look for bending or
wear on the Anchor Weldment (A), Ladder Fasten Points (B), and the Connection Eye (D).
(Figure 2)
Inspect the entire unit for corrosion.
Inspect for any missing or damaged parts (Bolts, Nuts, Washers).
Ensure that the Tube Cap (C) is in place.
Verify that the Ladder Fasten Points (B) are compatible with utilized hardware.
Tagline Assembly Inspect for any missing or damaged parts (Bolts, Nuts, Washers).
(Figure 8)
Labels (Figure 11)
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's instructions.
Equipment
Structure Verify the structure to which the anchor is attached meets the strength requirements from
Table 1 in all possible directions of loading. The structure must be free of any damage.
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:
1 Competent Person:
One who is capable of identifying existing and predictable hazards in the surroundings or working conditions which are unsanitary,
hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them.
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:
Competent
Person
1