Product Manual B

Page 12
ENGLISH
SPECIFICATIONS
PART NUMBER
SERIAL NUMBER
DATE
MANUFACTURED
PURCHASE DATE
ASSIGNED TO
DATE INSPECTOR PASS/FAIL DATE INSPECTOR PASS/FAIL
Werner Co. Self-Retracting Lifeline
Certiξ˜‚ ed to meet ANSI Z359 standards (see appendix for details)
and OSHA 29 CFR 1910 and 1926 for the Self-Retracting Lifeline
component of a complete personal fall arrest system.
Model, serial numbers, location and date of manufacture are on
product label.
V. Equipment Record
VI. Inspection Record
INSPECTION RECORD