Rockwall

1

Email

example@example.com

2

Rockwall Location Address

3

Manufacturer of the Rockwall:

4

Is it an inflatable Rockwall?

Yes

No

5

if yes, manual or auto belay?

6

Is the rockwall indoors or outdoors?

indoors

outdoors

7

Is the rockwall supervised at all times?

Yes

8

Is there a formal maintenance checklist program?

Yes

9

Is there a formal employee safety training program?

Yes

10

Is there a tool loop cut off from the safety harness?

Yes

11

When the rockwall is not in use, how and where do you store it?

12

How often are the cables replaced?

13

When was your rockwall manufactured?

14

What is the height of the rockwall?

15

What is the name of the rockwall?

16

5 year currently valued loss runs

Yes

17

No Known or Reported Loss Letter if operating with no prior insurance

Yes

18

Copy of Rental Agreement/Waiver

Yes

19

Safety Rules

Yes

20

Pictures of signage with Hold Harmless wording

Yes

21

Type a question