Acceptance Log - Innotech POINT-11 Installation And Operating Manual

PROJECT:
ORDER NUMBER:
CLIENT:
Specialist:
Company address:
CONTRACTOR:
Specialist:
Company address:
INSTALLATION OF EAP / ANCHORAGE POINTS:
anchorage points of a horizontal lifeline system in accordance with EN 795:2012 TYP C)
Specialist:
Company address:
PRODUCT: units
(Type designation EAP / anchorage point)
INSTALLATION SUBSTRATE:
(e.g.: solid concrete quality: C16/20; timber rafter dimensions; for tin roofs: roof manufacturer, profile, material, sheet metal thickness, etc.)
Date: Location:
The undersigned installation company warrants that the dowels have been properly processed in accordance with the dowel manufacturer's
guidelines. (Proper cleaning of bores, compliance with curing times and processing temperature, edge spacing of the dowels, inspection of
the substrate, etc.)
OPTIONAL: when setting up a horizontal lifeline system in accordance with EN 795:2012 TYP C
INSTALLATION - HORIZONTAL LIFELINE SYSTEM:
Specialist:
Company address:
DESIGNATION - HORIZONTAL LIFELINE SYSTEM: cable system no.:
Client accepts the performances of the contractor. The instructions for installation and use, fastener / photo
documentations and test sheets have been transferred to the client (building owner) and have been made available to the
user. When accessing the roof securing system, you must document the positions of the anchorage devices by means of
diagrams (e.g. top view of the roof).
The expert fitter familiar with the safety system confirms that the installation work has been executed
properly, in accordance with the state of the art, and in accordance with the manufacturer's instructions for
installation and use. The safety specifications for reliability are confirmed by the installation company.
Transfer of: (e.g: travelling eyebolts, personal protective equipment PPE, fall arrest devices HSG, storage cabinet, etc.)
units
Comments:
Name:
Client
Date,
Signature

ACCEPTANCE LOG

FASTENER / PHOTO DOCUMENTATION
Year of manufacture / serial number:
Dowel type: Setting
BEF / adhesive? / depth:
designation
[mm]
units
Fitter - EAP/ anchorage points
H
H
(Single anchorage points (EAP) or
H
Drill bit Ø: Tightening
[mm] torque:
H
units
Fitter - horizontal lifeline system
Photos:
(storage
location)
Nm
Nm
units