Acceptance Protocol - TEUFELBERGER SKC EVO Herstellerinformation Und Gebrauchsanleitung

ACCEPTANCE PROTOCOL

VERTICAL WIRE ROPE SYSTEM TEUFELBERGER SKC EVO
SYSTEM ACCORDING TO EN 353-1:2014+A1:2017
Project:
Order no.:
Client:
Address:
Contact person:
Contractor:
Address:
Contact person:
Installation company for the wire rope system:
Company:
Address:
Contact person:
Installation company for the substructure:
Company:
Address:
Contact person:
Design of the wire rope system:
Length of the wire rope:
Upper attachment
Lower attachment
Intermediate rope bracket
Number of users:
Substrate fastening incl. photo documentation:
Upper attachment
Lower attachment
Intermediate rope bracket
Mounting on steel, concrete, wood, etc.: (explanation, concrete grade, steel dimensions, etc.)
Static proof available?
The undersigned installation company assures the proper processing and installation of the wire rope system.
The Client accepts the Contractor's work. The instructions for use, documentation of the fastenings (possibly with photos) and inspection
sheets were handed over to the Client and are to be made available to the user.
The competent person, who is familiar with the safety system, confirms that the installation work has been carried out professionally,
according to the state of the art, and in accordance with the manufacturer's instructions for use. The reliability in terms of safety is
confirmed by the installation company.
Handover of personal protective equipment:
Fall arrester TEUFELBERGER SKC EVO:
Safety harness:
Other:
Other:
Client
Date, signature
48
Phone:
Phone:
Phone:
Phone:
With carabiner
Clamping element
Quantity (required every 10 m)
Clamp for ladder rungs
Clamp for ladder rungs
Clamp on ladder rung
Piece
Piece
Piece
Piece
Installation company for the wire rope
system:
Date, signature
System no.:
Preload in kg
System sign:
on a steel structure
on a steel structure
on a steel structure
E-mail:
E-mail:
E-mail:
E-mail:
other
installed
on concrete Photo no.
on concrete Photo no.
on concrete Photo no.
Installation company for the wire rope
system:
Date, signature