Appendix - MSA alphaBELT Pro Operating Manual

GB
8

Appendix

Equipment Record - Inspection Sheet for Personal Protective Equipment against falling from heights
For each component, subsystem or system a record must be kept! Contact us!
Product type:
Year of manufacture:
Product name:
Purchase date:
Serial number:
Date first put into use:
Periodic examination and repair history
Date:
Reason for entry (e.g. periodic
examination):
Defects noted, repairs conducted, etc.:
Name/ signature of competent person:
Periodic examination next due date:
8 Appendix
28