Date
Pass Fail
Corrective Action
Name of Inspector
Signature
INSPECTION AND MAINTAINANCE LOG
DATE PURCHASED: ________________________________________________________
DATE OF MANUFACTURE: _________________________________________________
MODEL NUMBER: _________________________________________________________
11
FOR MORE INFORMATION
In United States, contact:
Website: www.SafeWaze.com
Technical Assistance: 1-800-560-1094
Fax: 1-800-560-1275
3M Occupational Health and
Environmental Safety Division
4451 Raceway Drive South West
Concord, NC 28027
USA
Customer Care Center: 1-800-328-1667