INSPECTION Model: Owner’s Name:

PROTOCOL for Product Number: Address:

Harnesses Size: Tel.:

Manufacturer: Corresponding EN Standard(s): Email:

Date of Manufacture: Purchase Date: Date of First Use:

Inspection:

note

satisfactory

watched
should be

repaired
should be

unsatisfactory
Items for Inspection Actions:
Inspection:

Harness data Inspection book for the harness

Indentification label
Instructional pictograms
Reinforced Damage to the reinforced stitching
stitching and Fraying of the reinforced stitching
seams Localized discoloration of the reinforced stitching
Glassy surface of the reinforced stitching
Unraveling of the reinforced stitching
Loose stitches
Straps Ends of straps
Breakage or damage to strap fibers
Fraying straps
Localized discoloration of the straps
Glassy surface of the straps
Metal parts Deformities
Cracks and scratches
Corrosion and oxidation
Abrasions
Functionality
Notes :
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Výsledek kontroly :
Satisfactory for further use: Repair recommendations: Unsatisfactory for further use:

Inspection Date : Next inspection date (Inspection valid until):

Inspector:
Name: Address: Signature and Stamp:

Radek Vopat, www.lockit.cz