Inspection Log
User must inspect prior to EACH use. Competent Person other than user must complete
formal inspection at least every 6 months. Competent Person to inspect and initial.
Date of First Use: __________________. Product lifetime is indefinite, as long as it passes
pre-use and Competent Person inspections.
This inspection log must be specific to one 3-Way SRL. Separate inspection logs must be
used for each 3-Way SRL. All inspection records must be made visible and available to all
users at all times.
If equipment fails inspection IMMEDIATELY REMOVE FROM SERVICE.
Notes
13
85058 (Rev. D)
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