3M 2100100 Manual Del Usuario página 13

Inspection Date:
Components: Inspection:
Inspect the Concrete Wedge Anchor damage: Look for cracks, dents, or deformities. Look for
Concrete Wedge Anchor
bending or wear on the Main Cable (G), Wedges (F), Bumper (E), Trigger (F), and D-Ring (A).
(Figure 2)
Inspect the entire unit for corrosion.
Ensure the Wedges (F) can be operated by the Trigger (C) and locks in place. Verify the
Wedges and Trigger slide smoothly and can be pulled and released. Inspect the Main Cable
and Retractor Cable for any damage, kinking, or debris that could prevent the anchor from
operating.
Labels
Verify that all labels are securely attached and are legible (see 'Labels')
Verify the concrete structure and hole meet the requirements from Table 1. Verify the concrete
Structure
is free of any cracks or damage. Verify any current holes are free of ice and any selected hole
locations will not be exposed to the formation of ice.
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
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:
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)
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:
Competent
User Person
1
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due:
Next Inspection Due: