Important; Hoja De Cotejo Para Chequeo/Inspección Periodica - Harken Industrial CMC CLUTCH Manual De Uso

22 | Hoja de cotejo para chequeo/inspección periodica
No. Date Reason for
Check
Periodic check
1
Additional check
Periodic check
2
Additional check
Periodic check
3
Additional check
Periodic check
4
Additional check
Periodic check
5
Additional check
Periodic check
6
Additional check
Periodic check
7
Additional check

IMPORTANT:

A periodic inspection shall be performed at least once every 12 months and again after any exceptional event(s) that
may occur during use of the product to ensure product safety for users. The inspection shall be performed by a
competent person. Additional information on the inspection process and an inspection checklist can be found at
www.cmcpro.com/ppe-inspection.
Check Results
Notes
(damage, defects,
excessive wear or
other relevant data)
Device suitable for use
Device NOT suitable for use
Secondary check required
Device suitable for use
Device NOT suitable for use
Secondary check required
Device suitable for use
Device NOT suitable for use
Secondary check required
Device suitable for use
Device NOT suitable for use
Secondary check required
Device suitable for use
Device NOT suitable for use
Secondary check required
Device suitable for use
Device NOT suitable for use
Secondary check required
Device suitable for use
Device NOT suitable for use
Secondary check required
Name & Signature of
Competent Person
Performing Check
Date of
Next
Check