Title Page

  • Document No.

  • Type of Fall Protection

  • Date of Inspection

  • Inspected By

  • Users Name

  • Branch / Site

  • Identification Number. DGFP-

  • Type of Fall Protection

  • Serial Number

  • Manufacture Date (Note that the inspection date must be wIthin 5 years of manufacture)

  • Length & Type of Lanyard in metres i.e. Fixed or Adjustable

  • Shock Absorber in Lanyard?

  • WEBBING
    1. Grasp the webbing with hands 150 to 200mm apart.

    2. Bend the webbing in an inverted "U".

    3. Follow this procedure the entire length of the webbing.

    4. Inspect both sides of the webbing for:

  • Frayed Edges

  • Broken Fibres

  • Cuts of 1mm or Over

  • Discolouration

  • Chemical or Oil Staining

  • Friction Burns

  • STITCHING
    Check that the stitching is free from:

  • Pulled Stitching

  • Loose Stitching

  • Broken Stitching

  • SHOCK ABSORBER PACK
    Check the shock pack for signs of:

  • Broken or Damaged Shell

  • Deployment

  • Broken Stitching

  • Excessive Soiling

  • Water or Condensation Inside Shell

  • HARDWARE
    This includes:
    Karabiners.
    Snap Hooks.
    Screw Links.
    D-Rings.
    Web Tidies.
    Buckles.
    Adjusters.

    Check that all the hardware is free from:

  • Corrosion

  • Buckling / Distortion

  • Sharp Edges / Burrs

  • Cracks

  • Proper Operation

  • LABELS & TAGS
    Check that labels & tags are:

  • Legible

  • Securely Attached

  • COMMENTS

  • IS THE ITEM FIT TO REMAIN IN SERVICE?

  • FURTHER ACTIONS TO BE TAKEN

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