REFERENCE ❶
...............................................................................................................................................................
TYPE OF EQUIPMENT ⓬
The record card must be completed by the user before the product is first used, then regularly updated and
kept. ⓮
To be exclusively used as described in the product data sheet.
COMPANY
USER NAME
BATCH / SERIAL N°
DATE OF PRODUCTION
DATE OF 1st USE
DATE OF PURCHASE
The product has to be checked at least once a year by qualified personnel (e.g. manufacturer).
❽
Date of inspection
1
2
3
4
5
6
7
8
9
10
64
RECORD CARD
❷
❸
❹
❺
❻
❼
Checking of the product
Filled in following equipment record shall be kept with these instructions:
❾
Report / Comments
/
/
/
❿
Date of next inspection
EN355⓭
ENERGY ABSORBER
/
/
/
⓫
Stamp & Signature
UPDATE : 15/04/2014