EN795 Class D Rigid Rail Track Annual Recertification

• Job Reference Number

• EN795 Class D Rigid Rail Anchorage Annual Inspection

• Client / Site

• Conducted on

  Date

• Prepared by: Maurice Darcy

EN795 Class D Rigid Rail Anchorage Annual Inspection

Initial Access

• Initial method of access

  Select Direct Access Through Door Direct Access Through Openable Window Access through access hatch with ladder Access through Access Hatch without ladder Access by Mobile Elevated Work Platform Access by permanently fixed ladder Access by restrained temporary ladder

  • Direct Access Through Door
  • Direct Access Through Openable Window
  • Access through access hatch with ladder
  • Access through Access Hatch without ladder
  • Access by Mobile Elevated Work Platform
  • Access by permanently fixed ladder
  • Access by restrained temporary ladder

• Is the above method of access deemed safe?

  Yes

  No

  N/A

Test and Inspection of EN795 Class D Rigid Rail anchorage and associated components

• Number of Rigid track systems present on site

• All EN795 compliant track system fixings are secured correctly to the structure

  Yes

  No

  N/A

• There is no evidence of corrosion on any EN795 Class C compliant anchors

  Yes

  No

  N/A

• All fixing elements securing the track system to the structure are secure and in satisfactory condition

  Yes

  No

  N/A

Travel Attachment Device Inspection

• Number of travelling attachment trolley devices present on site

• All travel attachment trolleys travel freely and smoothly along the entire route of the rigid rail system, without obstruction

  Yes

  No

  N/A

• When attached to the rail all travel device attachment trolleys are securely fixed

  Yes

  No

  N/A

• Travel device attachment trolleys are free of rust or obvious signs of corrosion

  Yes

  No

  N/A

• Lanyard karabiners can be easily attached and removed from the travel device attachment trolley

  Yes

  No

  N/A

Single Anchor Point Inspection

• Number of Single anchor points present on site

• All single anchor points are securely fixed to structure

  Yes

  No

  N/A

• All single anchor point fixings are in place a secured to structure

  Yes

  No

  N/A

• All single anchor points are free of rust or obvious signs of corrosion

  Yes

  No

  N/A

• Lanyard karabiners can be easily attached and removed from the single anchor points

  Yes

  No

  N/A

• Single anchor points are positioned correctly in accordance with BS7883

  Yes

  No

  N/A

• Photo's

  Media

Certification

• Number of single point anchors certified

• Signed :

  Sign

• Number of Travel Device Attachment Trolleys certified

• Number of EN795 Class D Rigid Rail anchor systems certified

• Date of certification

  Date

• Due date for next inspection and recertification

  Date

• Protect Safety have inspected the above listed equipment. At the time of inspection all equipment has been deemed fit and safe to use by trained personnel only.
  The systems should not be used by untrained personnel. The systems should not be used if there are any obvious signs of damage. The systems should not be used if certification date has expired. Please refer to the manufacturers handbook before using the system.