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INSPECTION FORM

REMOVABLE
CONCRETE ANCHORS
Serial # Owner/Company:
Date of First Use: Inspector:
Date of Manufacture: Date of Inspection:

LABELS & MARKINGS Pass Fail

Correct Part Number labeling?


Correct Batch Number labeling?
Are inspections are current/up-to-date?
Is date of first use documented?

CONNECTORS Pass Fail

Does spring function smoothly?


Does wedge anchor move freely?
Is connector free of corrosion?
Is connector free of pitting & nicks?

Notes:_________________________________________

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