Enclosure 5 -Annual Safety Inspection Sticker.pdf

This is a template form for documenting annual safety inspection and weight testing compliance. The form provides a standardized record-keeping structure for capturing inspection and testing activities performed on equipment or systems. The inspection and weight test must be accomplished in accordance with NAVFAC P300 (Section 4-1.11.5), the applicable manufacturer's technical manual, and ANSI B92.5 standards. The form contains blank fields for identifying the person or entity accomplishing the inspection and testing, as well as the expiration date of the certification. This template serves as an appendix (Enclosure 5) to a larger federal contracting document and is designed to ensure compliance with Navy Facilities Engineering Command requirements for periodic safety verification and load capacity validation.