MANUFACTURER: 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
PRODUCT
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 legible
*
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:
INSPECTION REPORT
PROJECT
PERIODIC SYSTEM INSPECTION PERFORMED ON:
DOCUMENTATION
VISIBLE PARTS OF THE ANCHOR DEVICE
ROOF WATERPROOFING
Signature:
SERIAL No./YEAR
DATE OF FIRST USE:
DEFECT FOUND
(Defect description/ Measures taken)
27