3M DBI SALA 7234034 Manual De Instrucciones página 12

Inspection Date:
Components: Inspection:
Single Point Anchor Inspect the Bolt (A) or concrete fixing, Rotation Sleeve (B), washers (C, E, G, J ), Anchor
Eye (D), Marking Plate (F), Nylon Lock Nut (H), Nylon Bush (I), and Gasket (K) for damage
(Figure 2)
and deformation. Any Single Point Anchor that shows signs of tampering must be removed
from service. It may not be used for fall arrest, fall restraint, work positioning, or rescue
applications.
Inspect the Single Point Anchor for proper embedment. The device must be seated firmly
against the structure.
Inspect the entire device for signs of corrosion. Inspect the device for cracks or wear that
may affect strength and operation.
Torque all fasteners with a torque wrench to the torque value recommended by the
manufacturer.
Labels (Figure 10)
Verify that all labels are securely attached and are legible (see 'Labels').
Verify that the structure and drilled hole meet the requirements of Table 1 and Section 2.
Structure
Verify that the structure is free of any cracks or damage.
PFAS and Other
Additional Personal Fall Arrest System (PFAS) equipment (harness, SRD, etc) that are
used with the Anchorage System should be installed and inspected per the manufacturer's
Equipment
instructions.
Serial Number(s):
Model Number:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
1 Competent Person:
One who is capable of identifying existing and predictable hazards in the surroundings or working conditions which are unsanitary,
hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them.
Table 2 – Inspection and Maintenance Log
(See Section 1 for Inspection Frequency)
Inspected By:
Date Purchased:
Date of First Use:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Competent
User Person
1
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due: