Singing Rock s.r.o.

form 9/2/1 issue 15/5/2007 valid until 12/2009

Record of harness inspection

(this protocol refers to the instruction no. 9.2.1 nstructions for harness inspection! issued "# Singing Rock s.r.o.$

Type of harness

Name and size EN standard the of harness harness satisfies

Batch/month/year of manufacturing

Harness records available

Necessary to clean before the inspection

Operation Harness dating Labels inspection

designation tracea"ilit# la"el inspection card instruction pictograms tracea"ilit# la"el general %ear inspection
seam damage

Note

Result

fu&&# seam titching inspection local colouring of seam ' chemicals glass# surface of seam ' heat ripped out seam loose stitch %e""ing terminations %e""ing edges #arn "reakage !ebbing inspection fu&&# %e""ing local colouring of %e""ing ' chemicals glass# surface of %e""ing ' heat deformation of metal devices cracks and fra#s

"etal components corrosion and o(idation inspection local colouring function )arness convenient* nspection done "#* +ddress* ,ate of inspection* ,elegated "#* -urther recommendations* Stamp and signature*