Information
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Inspecting Officer’s Name
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Inspection Date
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Kit Users Name: (Write “As Above” if same person)
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Team Manager Responsible
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Kit No
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Bag (x1), Height Workers Kit
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Quantity
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Harness (x1), Miller Tower Worker
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Date of Manuf.
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End of Life Date
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Serial No. or Batch No.
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Quantity
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Pole Strap (x1)
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Date of Manuf.
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End of Life Date
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Serial No. or Batch No.
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Quantity
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Gloves (x1 pr), Climbing
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Quantity
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Twin Lanyard (x1) (with ring/maillon eye)
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Date of Manuf.
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End of Life Date
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Serial No. or Batch No.
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Quantity
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Scaffolding Hook (x2) (with maillon connectors)
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Date of Manuf.
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End of Life Date
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Serial No. or Batch No.
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Quantity
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Rope (x1 x20m), 11mm Kernmantle Blue
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Date of Manuf.
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End of Life Date
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Serial No. or Batch No.
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Quantity
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Sling (x1), 1.5m 1T WLL
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Date of Manuf.
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End of Life Date
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Serial No. or Batch No.
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Quantity
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Karabiner (x4), 7/16”
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Date of Manuf.
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End of Life Date
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Serial No. or Batch No.
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Quantity
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Manual Rope Grab (x1), Right or Left Hand
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Date of Manuf.
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Serial No. or Batch No.
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Quantity
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Automatic Rope Grab (x1)
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Date of Manuf.
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Serial No. or Batch No.
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Quantity
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Rope (x1 x1.5m), Prussic Loop (optional)
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Quantity
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Rope (x1 x3m), Prussic Loop (optional)
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Quantity
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Energy Absorber Pack (x1 Optional)
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Date of Manuf.
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End of Life Date
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Serial No. or Batch No.
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Quantity
Summary
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Refer to CSD16560A01 for the specifications and purchasing of these items.
Items containing man made fibres and karabiners have a mandatory 10 year life from date of manufacture.
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