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Technical Manual - Tyrolia

Technical Manual - Tyrolia

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78 / RISK MANAGEMENT<br />

Date of Accident Workshop Ticket #<br />

Skier Name Skier Phone<br />

Address Witness Name<br />

City, State Zip Witness Phone<br />

Skier’s Description of Accident and Injury<br />

▲<br />

CONTENTS<br />

▲<br />

(Use Back For Additional Comments)<br />

Description of System Rented Purchased<br />

Ski Brand Model Size<br />

Serial # Inv. #<br />

Boot Brand Model Size<br />

Binding Brand Model Size<br />

Condition of System<br />

Are the boot soles within industry standards? Yes No<br />

Are all buckles, boot adjustments functioning correctly? Yes No<br />

Are the A.F.D.’s Intact ? Yes No<br />

What are the Visual Indicator Settings? Toe Heel<br />

Is the Forward Pressure set correctly? Yes No<br />

Is the Toe Height set correctly? Yes No NA<br />

Do the brakes function smoothly? Yes No<br />

Is the ski bent delaminated or damaged? Yes No<br />

Describe:<br />

Was the equipment returned to service post-accident? Yes No<br />

Mechanical System Testing<br />

Testing Device Last Calibration date / /<br />

Clockwise Ctr Clockwise Clockwise Ctr Clockwise<br />

Toe L R<br />

Heel L R<br />

Background<br />

Shop Name<br />

POST ACCIDENT INSPECTION REPORT<br />

Inspected By Inspector Signature<br />

Checked By Checker Signature

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