INSPECTION AND MAINTAINANCE LOG
MODEL NUMBER:
DATE OF MANUFACTURE:
SERIAL NUMBER:
Date
Part Number
Inspection:
user. If severe weather or conditions exist then inspections must be carried out more frequently.
All inspections results must be logged in the space provided above.
*USER MUST INSPECT EQUIPMENT BEFORE EACH USE*
When inspecting equipment, check for physical deformations, excessive wear, corrosion,
and that all components work properly and safely.
WARNING: All persons using this equipment must read, understand and
follow all instructions. Failure to do so could result in serious injury or death.
Compliance: OSHA 1926.502 & 1910.66 / ANSI Z359.1 ANSI Z359.7
WARNING!!!
ALL PERSONS USING THIS EQUIPMENT MUST READ AND UNDERSTAND ALL INSTRUCTIONS.
FAILURE TO DO SO MAY RESULT IN SERIOUS INJURY OR DEATH. USERS SHOULD BE FAMILIAR
WITH PERTINENT REGULATIONS GOVERNING THIS EQUIPMENT. ALL INDIVIDUALS WHO USE
THIS PRODUCT MUST BE PROPERLY INSTRUCTED ON HOW TO USE THIS DEVICE.
Stainless Steel, Aluminum, Zinc Plated Steel, Bronze
proper disposal is required. Beam anchor must be rendered unusable and then properly discarded.
Comments
Inspector Name
MAX CAPACITY: 310 lbs (140.6 kg)
MFG:MM/YYYY
BREAKING STRENGTH: 5000 lbf (22.2 kN)
I-Beam Sliding Anchor
Model: A550000
1-(888)-523-3371
Max Capacity 310-lbs
I-BEAM SLIDING ANCHOR
ADJUSTABLE FROM 3.5"-14"
Model # A550000
IMPORTANT!!!
ALL PERSONS USING THIS EQUIPMENT MUST READ AND UNDERSTAND ALL INSTRUCTIONS.
FAILURE TO DO SO MAY RESULT IN SERIOUS INJURY OR DEATH. USERS SHOULD BE FAMILIAR
WITH PERTINENT REGULATIONS GOVERNING THIS EQUIPMENT. ALL INDIVIDUALS WHO USE
THIS PRODUCT MUST BE PROPERLY INSTRUCTED ON HOW TO USE THIS DEVICE. DO NOT
ATTEMPT ANY REPAIRS ON THIS EQUIPMENT. CONTACT WERNER CO. FOR FURTHER INSTRUCTION.
Werner Co. / 93 Werner Rd. Greenville, PA 16125 / 1-(888)-523-3371 / www.wernerco.com
V1.1
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