DBI SALA Vacuum Anchor Horizontal Lifeline System User Instruction - Page 11

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DBI SALA Vacuum Anchor Horizontal Lifeline System User Instruction
9.0

INSPECTION AND MAINTENANCE LOG

DATE OF MANUFACTURE: _______________________________________________________________________
MODEL NUMBER: ______________________________________________________________________________
DATE PURCHASED: ____________________________________________________________________________
I
N
S
P
E
C
T
I
O
N
D
A
T
E
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
A
p
p
r
o
v
e
d
B
: y
Vacuum Anchor
ID Label
I
N
S
P
E
C
T
I
O
N
I
T
E
M
S
N
O
T
E
D
11
Inspection Log
C
O
R
R
E
C
T
I
V
E
A
C
T
I
O
N
Label
M
A
I
N
T
E
N
A
N
C
E
P
E
R
F
O
R
M
E
D