REFERENCE
TYPE OF EQUIPMENT ⓬
The record card must be completed by the user before the product is first used, then
regularly updated and kept. ⓮
To be exclusively used as described in the product data sheet.
COMPANY
USER NAME
BATCH / SERIAL N°
DATE OF PRODUCTION
DATE OF 1st USE
DATE OF PURCHASE
⓯
The frequency of inspections must comply with national regulations and in any case an inspection must be performed at least once
a year. The documentation supplied with each product must be kept indefinitely by the user.
Date of
inspection
1
2
3
4
5
6
7
8
9
10
B.P. 140 - ZAC de La Peyrolière
84405 APT CEDEX – FRANCE
RECORD CARD
..................................................................
Checking of the product
Report / Comments
ARA ANSI CSA UI 3 LANGUAGES EN ES FR 07 12 2020
/
/
/
/
/
/
Date of next
inspection
⓭
ANSI Z359.14-2014
& CSA Z259.2.2-17
RETRACTABLE
TYPE
FALL ARRESTER
⓫
Stamp & Name & Signature
DATE : 07.12.2020
22/22