Information
-
Name:
-
Unit:
-
Date
-
Location
-
Add signature
Full body Harness
-
Webbing -frayed, cut, burned
-
Stitching- loose, ripped
-
Metal buckle- bent, cracked
-
Grommets - damaged, missing
-
Strap keepers-broken, missing
-
D-ring-worn, bent, cracked
Locking snap hooks
-
Hook - bent, cracked, twisted
-
Lock not working properly
-
Springs - weak, broken, missing
Lanyard with shock absorber
-
Webbing - frayed, cut, burned, damage by chemicals
-
Stitching - loose or ripped
-
Jacket - cut, torn, burned, signs of shock loading
-
End loops - cut, torn, burned, or stretched
-
Stretching - from shock loading
-
Connection - to snap hook
-
Knots - in rope lanyard
Rope grab
-
Fails - hand test
-
Not - with appropriate diameter and type of rope
-
Springs - broken, missing
-
Gate- can't close fully
-
Locking pin - not working
-
Safety Latch - broken
-
Teeth on cams worn
Lifeline
-
Diameter - must match that of rope grab
-
Polypropylene or equivalent
-
Length - reaches ground
-
Rope - frayed, rotted, cut, weakened, by knots
-
Discoloration from sun, chemicals
-
Attachments to anchor secure
-
Stretching from shock load
-
Protection - where lifeline runs over building edge
Anchor
-
Capacity - 22.2 kilonewtons (5000pounds) or more
-
One Anchor - per lifetime
-
Signs - of deformation
-
Signature :