Information
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Engineer Name / Pay no.
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Tech Number
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Conducted on
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Prepared by
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Location
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What type of engineer is this?
SAT Equipment
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Ridgegear Multi Task Comfort Harness - RGH16
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Serial Number
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Manufacturers Date
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Camp Silver Star Helmet
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Serial Number
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Manufacturers Date
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Ridgegear 11mm Kermantle rope x 50mtrs - RGA12R
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Serial Number
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Manufactures Date
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Ridgegear Rocker - RGA14 - Lockable (back up device)
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Serial Number
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Camp 10mm Delta Maillon
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
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Camp Safety AXEL (pn 1686) belay device
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Petzl 1mtr x 10mm wire rope (protected) min SWL 250kgs
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Serial Numbers
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30mtr x 7mm Static ACC. Cord
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Camp Rope protectors
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
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Camp Single pulley blocks - fixed sheave for 11mm rope
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Verify Qty
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Camp Kit bags - 30ltr rucksack
Notes, Coaching and Comments
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Have you made a record of any/all items that need replacing?
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Please list items that need replacing/ordering and supply reasons and photographs where applicable.
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Add media
ENGINEERS DECLARATION - I confirm
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That the above equipment has been issued to and is used by me.
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That no other equipment is used without authorisation, and a full inspection has been carried out by the SHS - PPE & Equipment Examiner.
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Engineer's Signature
PERSON CARRYING OUT THE INSPECTION
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TM's Signature
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NOTE - if any items are found defective they are to be isolated and replaced as soon as possible