GENERAL USE WARNINGSIT IS YOUR RESPONSIBILITY TO ENSURE THAT YOU DO NOT EXCEED THE MAXIMUM LOAD OF ANY COMPONENT IN THE SYSTEM.This product is part of a rope access/rescue system. Users must read and follow instructions in this guideline for each component of the complete system. Manufacturer’s instructions must be followed for correct care, use and maintenance of this product. Alterations or misuse of this product, or failure to follow instructions may result in serious injury or death. Reading this manual of itself does not constitute competency based training in the use of rope access/rescue products or systems.

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RESCUEMATE™ PULLEYS

ROLLGLISS® RESCUE

Instructions For Use

This instruction sheet applies for the following part numbers:

8700012 (P1a) 8700013 (P1Pa) 8700014 (P22a) 8700017 (P23a) 8700018 (P2a)

8700022 (P2Pa) 8700023 (P2s) 8700025 (P32a) 8700026 (P32DEa) 8700027 (P33a)

8700028 (P33DEa) 8700030 (P3a) 8700031 (P3DEa) 8700032 (P3Pa) 8700033 (P3s)

8700034 (P3Ta) 8700035 (P3Wa) 8700039 (P4Ka) 8700041 (P4Wa) 8700044 (P5Wa)

8700064 (PS2s) 8700066 (PS3s) 8700067 (PS3W)

2056

ASNZS4488 EN12278 NFPA1983

8700528 (P23DEa)

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CONTENTS

Topic Page

General Use Warnings Front Cover

1.0 NFPA Statement 4

2.0 Purpose 4

3.0 IdentificationofParts 6

4.0 StandardsCompliance 8

5.0 Inspection 8

6.0 ThreadingThePulley 9

7.0 ConnectingThePulley 10

8.0 PrincipleofMechanicalAdvantage 10

9.0 RopeSelection 11

10.0 AnnualInspectionPeriod 12

11.0 Maintenance 12

12.0 ProductLife 13

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CONTENTS

Topic Page

13.0 Use Conditions 14

14.0 LimitedLifetimeWarranty(Australia)(Global) 16

15.0 Inspection&MaintenanceLog 19

1.0 NFPA STATEMENT

Rollgliss®TechnicalRescue,RESCUEMATE™PULLEYSIDENTIFIEDASBEINGCOMPLIANTWITHNFPA1983,MEETSTHEAUXILIARYEQUIPMENTREQUIREMENTSOFNFPA1983,STANDARDONLIFESAFETYROPEANDEQUIPMENTFOREMERGENCYSERVICES,2012EDITION.ThisStandardonLifeSafetyRopeandEquipmentforEmergencyServices,outlinesrequirementsforAuxiliaryEquipment.

CertifiedNFPA1983(2012edition)auxiliaryequipment,minimumbreakingstrength(MBS)/MaximumLoadarespecifiedasperindividualmodels.Seemarkingsonthedeviceitselffordetails.AllRollgliss®TechnicalRescuepulleyscoveredbythisdocumentareratedG(GeneralUse).

Theseinstructionsmustbemaintained,madeavailabletotheuserandreferencedbytheuserbeforeandaftereachuse.Acopyoftheseinstructionsmustbekeptonrecordandusersmustbeawarethatiftheinstruction/informationisnotfollowed,theusercouldsufferseriousconsequences.

AdditionalinformationregardingauxiliaryequipmentcanbefoundinNFPA1500,StandardonFireDepartmentOccupationalSafetyandHealthProgram,andNFPA1983,StandardonLifeSafetyRopeandEquipmentforEmergencyServices.

2.0 PURPOSE

DBI-SALARollgliss®Rescuemate™Pulleysareavailableinvariouscombinationsofsheaves(mobileandfixed),cheeksandrollerorsinteredbearings.Thedevicesareintended

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forusewithsyntheticropes(nylon,polyesterorblendsofbothmaterials).Thepulleyshavebeendesignedtoensurethattheywillnottwistordamagetheropeinnormaluse,extendingropelife.

Rollgliss®Rescuemate™Pulleysaredesignedtobepartofarescuesystemtoprovidetransport,re-directionand/ormechanicaladvantage.Thisallowsanoperatortogainaccesstoorfromarescuelocationandanadvantageinlifting,loweringandholdingloads.Theproductthereforebecomespartofanefficientsystemforbelay,retrieval,self-belayandself-retrieval.

WARNING: Usersmustreadtheseinstructionsofuseandensuretheyhaveafullunderstandingoftheproductapplicationanditslimitations.Participationinanyworkatheightsorrescueoperationisaphysicalactivity,participantsshouldensurethattheyarephysicallyfitandcapableofengaginginsuchactivities.

Thisdeviceispartofaworkpositioningsystem,haulingand/orrescuesystem.Useandoperationofthesedevicesmustonlybebythoseindividualswhohavebeentrainedinitsuse.Allworkersatheightmusthavearescueplaninplacewhenatriskofafall.Itisrecommendedthatabackup(secondary)systemisusedtoprotecttheoperatorandthatthemeanstoaffectasafeandefficientrescueisinplace.

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6

Identification of Parts

1. Markings (SWL, MAX Load)2. Rivet3. Sheave4. Cheek5. Becket (karabiner/attachment hole)

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3.0 IDENTIFICATION OF PARTS

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Identification of Parts - Markings

Single Sheave Pulley

Triple Sheave Pulley

Double Becket Pulley

Reverse Cheek Markings

Double Sheave Pulley

TheRollgliss®Rescuematepulleysareclearlymarkeduponthecheekswiththefollowinginformation:1. Manufacturersname/mark2. PartNumber3. Model4. DateofManufacture5. SerialNumber6. RopeSizes7. Numberandyearofstandard8. CertifyingAgency9. MinimumbreakingstrengthinkN

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4.0 STANDARDS COMPLIANCE

Rollgliss®Rescuemate™PulleysaremanufacturedinAustraliafromcombinationsofaluminiumand/orhighgradestainlesssteel.SelectpulleyshavebeentestedtoandcomplytoEuropeanstandardEN12278(2007)andNFPA1983(2012ed.).AllpulleyscertifiedcarrytheCE2056markandSAIGlobalmarkasproofofcompliance.Classificationunderrelevantstandardsisuniqueforeachpulleycertifiedandwillbemarkeduponthepulleyitself.UseofthesepulleysshouldconsiderthelocalstandardsthatmayaffectthesystemsinstalledsuchasASNZS1891.1,1891.4,ANSI/ASSEZ359.1and/orZ359.4.

5.0 INSPECTION

Rollgliss®Rescuemate™Pulleysmustbevisuallyandmanuallyinspectedbeforeandaftereachusetoverifythatthedeviceisoperatingcorrectly.Anyproductwhichhasbeenwithdrawnfromservicemustbeinspectedbyacompetentpersonandmayonlybereturnedtoserviceifsaidcompetentpersonauthorizesinwritingtheuseofthatproduct.Whereanyproductfailsaninspection,hasbeenusedinaliverescue(nottraining)and/orhasseentheforceofafall,itistobeimmediatelytakenoutofserviceandtaggedunusable.Suchproductsmustbecertifiedbythemanufacturerortheirrepresentativepriortore-instatementtoservice.

Duringtheuserinspectionyoumust:A)Swivelcheeksslideopenfreely;B)Thesheaverotatesfreelyintheassembly;C)Ensurethereisnodirtbuildupintheareaofthesheaveandpulleycheeks;

D)Thereisnodeformationofthepulleycheeks;

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E)Thereisnocorrosionofthemetalcomponents;F)Therearenocracksorbreaksinthebodyofthepulley.

6.0 THREADING THE PULLEY

Threadingofthepulleyiscompletedusingthefollowingsteps:1. Swivelthecheekstotheopenpositionbysliding

theminopposingdirectionstoexposethesheave;2. Insertorlaytheropeontothesheave;3. Swivelthecheekstotheclosedpositiontoalignthe

becketsattachmentholes;4. Securetheclosedpositionbyinsertingsuitable

attachmenthardwarethroughthepulley'sbecketattachmentpoint(e.g.akarabiner).

Whenusingpulleystocreateamechanicaladvantagesystemitisimportantthatmultisheavepulleysarereaved(roped)correctly,whereminimallinecrossingisachieved.Itisrecommendedthatpropertrainingisundertakenbytheusertoensurethatsystemsaresetupcorrectlyandthatthemechanicaladvantageofthesystemdoesnotpotentiallyoverloadthesystem.

WARNING: A)NEVERuseaswivelcheekpulleyintheopenposition.B)Allbecketattachmentholesmustbealignedandlockedclosedwithattachmenthardware.

C)Whenpreparingtousethepulley,careshouldbetakentoensurethatthepulleyisnotoverloadedanduseiscontainedwithinasuitableWorkingLoadLimit(WLL).WLLisdeterminedbytheuser,localemergencyagencies/policiesandstandards.TypicalWLLratiosarebetween8:1and15:1(WorkingLoadLimittoMinimumBreakingStrength).theMinimumBreakingStrengthis

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markedonthepulley.D)Alwaysensureloadsonthepulleyareplacedinthedirectionofthesheaverotation.Placingsideloadsonthepulleysuchasonaleadingedgemayresultinthepulleybeingdamaged,failingtooperatecorrectlyorreleasingitsloadcompletely.

E)Wherethereisconcernregardingtheconditionofthepulley,itmustbewithdrawnfromservice.Contactthemanufactureroritsserviceagencyforassistance.

F)TheuseofPulleysinarescue/retrievalorhaulingsystemreliesonthecompatibilityofthevariouscomponentsofthesystem.Usersmustbeawareofhoweachcomponentofthesystemworkswithothercomponentstoensuresafeoperations.

7.0 CONNECTING THE PULLEY

ConnecttheRollgliss®Rescuemate™Pulleytoasuitableanchorpointorwithinahaulsystemdependinguponthespecificapplicationofthepulley.Theanchorpointmustbesuitablyratedfortheexpectedloadsonthepulleyasperlocalstandardsandcalculatedloadsofthesysteminplace.Useacompatiblelockingconnectorapprovedforusewithinyourlocalitytoconnectthepulley’sbeckettotheanchorpoint.

8.0 PRINCIPLES OF MECHANICAL ADVANTAGE

Pulleyscanbeusedincombinationtodeliveramechanicaladvantageinlifting.Theattachedchartoutlinescommonconfigurationsthatillustratesimplemechanicaladvantagesystems:

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9.0 ROPE SELECTION

Differentropeswillperformdifferentlyinthisdeviceduetovariedcharacteristicsoftheropedesignandmanufacturing.Whenusingthepulleys,careshouldbetakenintheselectionofropeandoperationtoensureefficientoperationofthepulley.Rollgliss®Rescuemate™Pulleysaredesignedandtestedtousestatickernmantlelifelineofanappropriatesizeforthepulley.Useof

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Principles of Mechanical Advantage

Legend:A = Advantage 1 = Single Sheave PulleyDA = Re-direct 2 = Double Sheave PulleyMA = Mechanical Advantage 3 = Triple Sheave Pulley

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incompatiblerope(constructionand/orsize)willincreasetheriskofseriousinjuryordeathwhenoperatingthisdevice.RopesizeandconstructionismarkedonindividualpulleysandcanbefoundindatasheetforRollgliss® Rescuemate™Pulleys.Forcertificationtestingdetails,includingtestropespecificationscontactCapitalSafety,requestingtestdata,citingthepulleypartnumberanddateofmanufacture.CapitalSafetywillprovideacertificateofconformancedetailingropeusedforthetesting.

10. ANNUAL INSPECTION PERIOD

ItisrecommendedthatRollgliss®Rescuemate™Pulleysbeinspectedbytheuserbeforeandafteruseandbyacompetentpersonevery12monthstohelpmaintaintheproductserviceability.

Thefollowinginformationshouldberecordedinaformalinspection: A)Dateofinspection B)Datefirstplacedintoservice C)Commentsonfindings D)Dateplacedbackintoservice E)Dateofnextperiodicinspection. F)SerialNumber G)Nameofinspector

11. MAINTENANCE

Rollgliss®Rescuemate™Pulleysarepersonalprotectiveequipment(PPE)andneedtobemaintainedtoensureasafeworkinglife.Itisrecommendedthattheuserofthisequipmentfollowthefollowingmaintenanceprocedures.A)Washinclean,potablewater.Ifyouneedtoremovegritormorestubborndirtandgrimethatoftencauses

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stiffnessintherotationofthepulleycheeksorsheaves,alightcleaningagentsuchasWD40orequivalentmaybeused.Whenacleaningagentisusedensurethatallremnantsarewashedoff.

B)Afterwashing,allowtoair-dryafterwipingawayexcessmoisture.

C)Uselightmachineoiltoreplaceoilsinthebearingareasandallowthepulleytostandsoexcessoilsmaydripfromthepulley,wipeanyexcessoilfromthesheavesandcheeksbeforebeingplacedbackintoservice.

D)Storeinacleananddrylocation.

Note:Serviceand/orrepairstothedeviceshallonlybecarriedoutbythemanufacturerand/ortheirrepresentativeasauthorisedinwriting.

12. PRODUCT LIFE

TheRollgliss®Rescuemate™Pulleysshouldhavea10yearoperatinglifeafteritisfirstplacedintoservice,providedthatitiskeptinacleananddryenvironment,isinspectedonatleasta12monthlybasisbyacompetentpersonandismaintainedinaccordancewiththerequirementsoutlinedinthismanual.

Wherethedevicehasfailedaninspectionandisdeemedunserviceable,thedeviceistobedestroyedand/ormadeinoperablesothatitcannotbereturnedtoservice.Forclarificationonsecuredisposaland/ordestructioncontactCapitalSafety.

13. USE CONDITIONS

Rollgliss®Rescuemate™Pulleysaredesignedforuseinthenormalworkingconditionsfoundintheindustrialmarket.

Thisincludesambienttemperaturessuchashot,drywetandcoldworkingconditions.Thetemperaturerangerecommendedforthepulleyis-40°-+50°Celsius,-40°-+122°Fahrenheit.

Wheretemperaturestobeexperiencedintheareaofuseexceedthistemperaturerange,theusershouldcontactthemanufacturertoverifysuitabilityofuse.Theinfluenceofextremewetandcoldconditionsmaychangetheworkingcharacteristics,i.e.frictionandeaseofuseofthepulley.Howeversuchconditionsshouldnotaffecttheworkingstrengthofthepulley.Careshouldbetakenwhenusingpulleysinextremeweather.Iceandsnowmustbeclearedfromthepulleytoensuresmoothoperation.

Whereapulleycomesintocontactwithchemicals,thepulleyneedstobecleanedassoonaspracticableandinspectedforanysurfacedamagetothefinishandmetals.Allchemicalsandsolventsshouldbeconsideredharmfulandcareshouldbetakentomaintainandinspectthesepulleysbeforeeachusewherechemicalsarepresent.

AnyuserofRollgliss®Rescuemate™Pulleysthatworkinanareaofpossiblechemicalcontaminationneedtocarryoutariskassessmentandprepareasafeworkmethodstatement.Theseshouldincludethecleaningandinspectioncriteriafortheequipmentbasedonthepotentialdamagefromchemicalsintheworkarea.AlwayschecktheMSDSofanychemicalsthatcouldcomeintocontactwiththepulleyoranyCapitalSafetyproduct.

14. LIMITED LIFETIME WARRANTY (AUSTRALIA)

WarrantytoEndUser:CapitalSafetyGroup(Australia)PtyLtd(“CapitalSafety”)warrantstotheoriginalenduser

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(“EndUser”)thatitsproductsarefreefromdefectsinmaterialsandworkmanshipundernormaluseandservice.ThiswarrantyextendsforthelifetimeoftheproductfromthedatetheproductispurchasedbytheEndUser,innewandunusedcondition,fromaCapitalSafetyauthorizeddistributor.ThiswarrantyisprovidedinadditiontootherrightsandremediesavailabletotheEndUserunderlaw.

NooralorwritteninformationoradvicegivenbyCapitalSafety,itsdistributors,directors,officers,agentsoremployeesshallcreateanydifferentoradditionalwarrantiesorinanywayincreasethescopeofthiswarranty.ThiswarrantywillnotapplytoandCapitalSafetywillnotacceptliabilityfordefectsthatresultfromproductabuse,misuse,alterationormodification,orfordefectsthatareduetoafailuretoinstall,maintainorusetheproductaccordingtothemanufacturer’sinstructions.

CapitalSafety’swarrantyappliesonlytotheEndUser.Toobtainthebenefitofthiswarranty,theEndUsermustregisterthepurchasedproductatcapitalsafety.com.auunder“WarrantyRegistration”tab,orretaintheiroriginalreceiptasproofofpurchase.

Toclaimunderthiswarranty,theEndUsershouldreturntheproductwithanexplanationoftheproductissue,alongwiththeoriginalproofofpurchase,to:

CAPITALSAFETYAUSTRALIA95DerbyStreet,Silverwater,NSW2128

Phone:0287537600/Tollfree:1800245002Email:quality@capitalsafety.com.au

TheEndUsermustpaythecostofpackagingandreturningtheproducttoCapitalSafety.

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Limitation of Warranty:Thewarrantiesstatedinthisdocumentareexclusiveandaremadeinplaceofanyandallconditions,warrantiesorrepresentationsastothemerchantability,performance,qualityorfitnessforaparticularpurposeoftheproductthatmaybeimpliedbylaw,andinplaceofanyindustrypracticeorcustomortrade usage.

TheproductcomeswithguaranteesthatcannotbeexcludedunderAustralianConsumerLaw.TheEndUserisentitledtoareplacementorrefundforamajorfailureandtocompensationforanyotherreasonablyforeseeablelossordamage.TheEndUserisalsoentitledtohavetheproductrepairedorreplacediftheproductfailstobeofacceptablequalityandthefailuredoesnotamounttoamajorfailure.

Limitation of Liability:Totheextentpermittedbylaw: (a)CapitalSafety’smaximumliabilitytotheEndUser

forfailuretocomplywithaconsumerguaranteeinrespectofthesupplyoftheproductnotofakindordinarilyacquiredforpersonal,domesticorhouseholduseorconsumptionislimited,atCapitalSafety’ssolediscretion,torepairorreplacementoftheproduct;and

(b)CapitalSafetywillnotbeliableforanydirect,indirect,special,orconsequentialdamagesofanykind,includinglossofprofits,revenueorbusiness,death,personalinjuryordamagetopropertyresultingfromorinanywayrelatedtoCapitalSafety’sproducts.

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LIMITED LIFETIME WARRANTY (GLOBAL)

Warranty to End User:CapitalSafetyGroup(“CapitalSafety”)warrantstotheoriginalenduser(“EndUser”)thatitsproductsarefreefromdefectsinmaterialsandworkmanshipundernormaluseandservice.ThiswarrantyextendsforthelifetimeoftheproductfromthedatetheproductispurchasedbytheEndUser,innewandunusedcondition,fromaCapitalSafetyauthorizeddistributor.

CapitalSafety’sentireliabilitytoEndUserandEndUser’sexclusiveremedyunderthiswarrantyislimitedtotherepairorreplacementinkindofanydefectiveproductwithinitslifetime(asCapitalSafetyinitssolediscretiondeterminesanddeemsappropriate).

NooralorwritteninformationoradvicegivenbyCapitalSafety,itsdistributors,directors,officers,agentsoremployeesshallcreateanydifferentoradditionalwarrantiesorinanywayincreasethescopeofthiswarranty.CapitalSafetywillnotacceptliabilityfordefectsthataretheresultofproductabuse,misuse,alterationormodification,orfordefectsthatareduetoafailuretoinstall,maintain,orusetheproductinaccordancewiththemanufacturer’sinstructions.

Limitation of Warranty:Thewarrantiesstatedinthisdocumentareexclusiveandaremadeinplaceofanyandallexpressorimpliedwarrantiesorconditions,includinganyimpliedwarrantyofmerchantabilityorfitnessforaparticularpurpose,oranyindustrypracticeorcustomortrade usage.

Limitation of Remedies and Capital Safety Liability:Exceptasspecificallystatedinthiswarrantydocument,

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CapitalSafetywillnotbeliableforanyothercost,lossorliabilityinanywayrelatedtotheperformance,useorinabilitytouseanyoftheproducts.

CapitalSafetyalsowillnotbeliableforanydirect,indirect,special,orconsequentialdamagesofanykind,includinglossofprofits,revenueorbusinessresultingfromorinanywayrelatedtoCapitalSafety’sproducts.Thislimitationappliesregardlessofthelegaltheoryuponwhichdamagesaresought.

TheremediesofferedbyCapitalSafetyareintendedtocompensateonlyforanynon-conformingproducts.Asaconditionofsale,itisagreedthattheremediessetoutinthisdocumentareexclusiveandmaynotfailoftheiressential purpose.

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15.0 INSPECTION AND MAINTENANCE LOG

Model Number

Serial Number:

Date into Service:

Visual Check of Safety Components Yes NoConditionofthecheeks(cracks,marks,wear,deformation,corrosion)

Conditionoftheattachmentholes(cracks,marks,wear,deformation,corrosion)

Conditionofthegroovesofthesheaves(cracks,marks,wear,deformation,corrosion)

Conditionoftheaxle(rivets,bolts)

Operational Check Yes No

Thesheavesturnfreely

Checkoftheopeningandclosingofthecheeks

Comments

Final Appraisal

Action to be taken Overall Pass or Fail

Select one only Select one only

Clean&Re-inspect ReturntoServicePass or FailReturntoManufacturerfor

ClarificationRemovefromService

Inspector'sName:

Inspector'sSignature:

InspectionDate: / /

Please photocopy this page to record multiple entries

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15.0 INSPECTION AND MAINTENANCE LOG

Model Number

Serial Number:

Date into Service:

Visual Check of Safety Components Yes NoConditionofthecheeks(cracks,marks,wear,deformation,corrosion)

Conditionoftheattachmentholes(cracks,marks,wear,deformation,corrosion)

Conditionofthegroovesofthesheaves(cracks,marks,wear,deformation,corrosion)

Conditionoftheaxle(rivets,bolts)

Operational Check Yes No

Thesheavesturnfreely

Checkoftheopeningandclosingofthecheeks

Comments

Final Appraisal

Action to be taken Overall Pass or Fail

Select one only Select one only

Clean&Re-inspect ReturntoServicePass or FailReturntoManufacturerfor

ClarificationRemovefromService

Inspector'sName:

Inspector'sSignature:

InspectionDate: / /

Please photocopy this page to record multiple entries

15.0 INSPECTION AND MAINTENANCE LOG

Model Number

Serial Number:

Date into Service:

Visual Check of Safety Components Yes NoConditionofthecheeks(cracks,marks,wear,deformation,corrosion)

Conditionoftheattachmentholes(cracks,marks,wear,deformation,corrosion)

Conditionofthegroovesofthesheaves(cracks,marks,wear,deformation,corrosion)

Conditionoftheaxle(rivets,bolts)

Operational Check Yes No

Thesheavesturnfreely

Checkoftheopeningandclosingofthecheeks

Comments

Final Appraisal

Action to be taken Overall Pass or Fail

Select one only Select one only

Clean&Re-inspect ReturntoServicePass or FailReturntoManufacturerfor

ClarificationRemovefromService

Inspector'sName:

Inspector'sSignature:

InspectionDate: / /

Please photocopy this page to record multiple entries

21

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15.0 INSPECTION AND MAINTENANCE LOG

Model Number

Serial Number:

Date into Service:

Visual Check of Safety Components Yes NoConditionofthecheeks(cracks,marks,wear,deformation,corrosion)

Conditionoftheattachmentholes(cracks,marks,wear,deformation,corrosion)

Conditionofthegroovesofthesheaves(cracks,marks,wear,deformation,corrosion)

Conditionoftheaxle(rivets,bolts)

Operational Check Yes No

Thesheavesturnfreely

Checkoftheopeningandclosingofthecheeks

Comments

Final Appraisal

Action to be taken Overall Pass or Fail

Select one only Select one only

Clean&Re-inspect ReturntoServicePass or FailReturntoManufacturerfor

ClarificationRemovefromService

Inspector'sName:

Inspector'sSignature:

InspectionDate: / /

Please photocopy this page to record multiple entries

15.0 INSPECTION AND MAINTENANCE LOG

Model Number

Serial Number:

Date into Service:

Visual Check of Safety Components Yes NoConditionofthecheeks(cracks,marks,wear,deformation,corrosion)

Conditionoftheattachmentholes(cracks,marks,wear,deformation,corrosion)

Conditionofthegroovesofthesheaves(cracks,marks,wear,deformation,corrosion)

Conditionoftheaxle(rivets,bolts)

Operational Check Yes No

Thesheavesturnfreely

Checkoftheopeningandclosingofthecheeks

Comments

Final Appraisal

Action to be taken Overall Pass or Fail

Select one only Select one only

Clean&Re-inspect ReturntoServicePass or FailReturntoManufacturerfor

ClarificationRemovefromService

Inspector'sName:

Inspector'sSignature:

InspectionDate: / /

Please photocopy this page to record multiple entries

DBI-SALA is a registered Trademark of Capital Safety ©2012,CapitalSafety(Australia)

For any enquiries please call:1800 245 002 (AUS)0800 212 505 (NZ)

CapitalSafetyAustralia95DerbyStreetSilverwaterNSW2128Australia

Phone:0287537600Fax:0287537603Email:sales@capitalsafety.com.au

www.capitalsafety.com.auABN75003724007

Quality ISO 9001

USA:8003286146Canada:8003877484

LatinAmerica:+16513854301Asia:+6565587758

Germany:+49(0)309203838700Europe,MiddleEast,Africa:+33(0)497100010

NorthernEurope:+44(0)1928571234www.capitalsafety.cominfo@capitalsafety.com