Fall Protection Equipment Inspection - Section 20.2

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel Involved in Inspection:

Harness

Harness Information

• Is Label Attached to Harness?

  Yes

  No

  N/A

• Is Label Fully Legible?

  Yes

  No

  N/A

• Take photo of label or enter information below.

  Media

• Harness Date of Manufacture

  Date

• Manufacturer of Harness

• Serial Number of Harness

• Model # of Harness

Webbing

Inspect the entire surface of webbing for damage. Beginning at one end, bend the webbing in an inverted “U.” Holding the body side of the belt toward you, grasp the belt with your hands six to eight inches Apart. This surface tension makes the damaged fibers or cuts easier to see. Watch for frayed edges, broken fibers, pulled stitches, cuts, burns and chemical damage.

• Free of Cuts?

  Yes

  No

  N/A

• Free of Frays?

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Free of Broken Stitches?

  Yes

  No

  N/A

• Free of Tears?

  Yes

  No

  N/A

• Free of Abrasions?

  Yes

  No

  N/A

• Free of Punctures?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

Hardware Condition:

“D” Rings/Back Pads: Check “D” rings for distortion, cracks, breaks and rough or sharp edges. The “D” ring should pivot freely. “D” ring back pads should also be inspected for damage.
Attachment of Buckles: Note any unusual wear, frayed or cut fiber, or distortion of the buckles.
Tongue/Grommet: The tongue receives heavy wear from repeated buckling and unbuckling. Inspect for loose, distorted or broken grommets. The webbing should not have any additional punched holes.
Tongue Buckle: Buckle tongues should be free of distortion in shape and motion. They should overlap the buckle frame and move freely back and forth in their socket. The roller should turn freely on the frame. Check for Distortion or sharp edges.
Friction and Mating Buckles: Inspect the buckle for distortion. The outer bars and center bars must be straight. Pay special attention to Corners and attachment points of the center bar.

• Free of Damaged or Worn Parts?

  Yes

  No

  N/A

• Free of Broken or Bent Parts?

  Yes

  No

  N/A

• Free of Any Sharp Edges?

  Yes

  No

  N/A

• Free of Burrs?

  Yes

  No

  N/A

• Free of Cracks?

  Yes

  No

  N/A

• Parts Free of Distortion and Elongation?

  Yes

  No

  N/A

• Free of Corrosion?

  Yes

  No

  N/A

• Free of Loose, Distorted or Missing Grommets?

  Yes

  No

  N/A

• Do Buckles Function Correctly?

  Yes

  No

  N/A

Hardware

• Buckles in Place?

  Yes

  No

  N/A

• D-Rings in Place?

  Yes

  No

  N/A

• Back Pad in Place?

  Yes

  No

  N/A

• Loop Keepers in Place?

  Yes

  No

  N/A

• Comments / Further Action Required:

• Does the harness meet requirements for use by Ecoserv personnel?

  Safe for Use

  Requires Cleaning

  Remove From Service (send to mfg. for inspection/servicing)

  Destroy Immediately

• Date Equipment Destroyed:

  Date

• Proof of Destruction

  Media

• Comments:

Lanyards

Lanyard Information

• Is Label Attached to Lanyard?

  Yes

  No

  N/A

• Is Label Fully Legible?

  Yes

  No

  N/A

• Take photo of label or enter information below

  Media

• Lanyard Date of Manufacture

  Date

• Manufacturer of Lanyard

• Serial Number of Lanyard

• Model # of Lanyard

Shock Pack

Absorbing lanyards should be examined as a web lanyard. However, also look for signs of Deployment. If the lanyard shows signs of having been put under load (e.g., torn out stitching), remove it from service and destroy.

• Any signs of being placed under load?

  Safe

  At Risk

  N/A

• Torn Stitching?

  Safe

  At Risk

  N/A

Webbing

Inspect the entire surface of webbing for damage. Beginning at one end, bend the webbing in an inverted.” Holding the body side of the belt toward you, grasp the belt with your hands six to eight inches apart. This surface tension makes the damaged fibers or cuts easier to see. Watch for frayed edges, broken fibers, pulled stitches, cuts, burns and chemical damage.

• Free of Cuts?

  Yes

  No

  N/A

• Free of Frays?

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Free of Broken Stitches?

  Yes

  No

  N/A

• Free of Tears?

  Yes

  No

  N/A

• Free of Abrasions?

  Yes

  No

  N/A

• Free of Punctures?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

Hardware Condition

“D” Rings/Back Pads: Check “D” rings for distortion, cracks, breaks and rough or sharp edges. The “D” ring should pivot freely. “D” ring back pads should also be inspected for damage.
Hook and Hook Gate: Both the hook and the hook gate receive heavy wear from repeated anchorage connecting and latching. Inspect for loose, distorted or signs of wear that are damaging to the overall use of the equipment. The connecting webbing should not have any damaged fibers or cuts. Watch for frayed edges, broken fibers, pulled stitches, cuts, burns and chemical damage.

• Free of Damaged or Worn Parts?

  Yes

  No

  N/A

• Free of Broken or Bent Parts?

  Yes

  No

  N/A

• Free of Any Sharp Edges?

  Yes

  No

  N/A

• Free of Burrs?

  Yes

  No

  N/A

• Free of Cracks?

  Yes

  No

  N/A

• Free of Distortion and Elongation?

  Yes

  No

  N/A

• Free of Corrosion?

  Yes

  No

  N/A

• Hook and Hook Gate are Functional?

  Yes

  No

  N/A

• Comments / Further Action Required:

• Does the lanyard meet requirements for use by Ecoserv personnel?

  Safe for Use

  Requires Cleaning

  Remove From Service (send to mfg. for inspection/servicing)

  Destroy Immediately

• Date Equipment Destroyed:

  Date

• Proof of Destruction

  Media

• Comments:

Self Retracting Lifeline (SRL)

Self Retracting Lifeline Information

• Condition of SRL

  New

  Used

• Company performing last service / calibration of SRL

• SRL Date of Last Service / Calibration

  Date

• Take photo of labels or enter information below

  Media

• SRL Date of Manufacture

  Date

• Manufacturer of SRL

• Serial Number of SRL

• Model Number of SRL

Housing / Cover

• Casing Bolts Tight / Snug

  Yes

  No

  N/A

• Loose Fasteners

  Safe

  At Risk

  N/A

• Missing Parts

  Safe

  At Risk

  N/A

• Cracks or Wear

  Safe

  At Risk

  N/A

• No Deformation at Connecting Areas

  Safe

  At Risk

  N/A

• Corrosion

  Safe

  At Risk

  N/A

• Overall Deterioration

  Safe

  At Risk

  N/A

• Modification by User

  Safe

  At Risk

  N/A

• Physical Damage

  Safe

  At Risk

  N/A

• Bent, Cracked, Distorted, Worn or Malfunctioning Parts

  Safe

  At Risk

  N/A

Snap Hooks

• Distortion (twist/bends)

  Safe

  At Risk

  N/A

• Rust or Corrosion

  Safe

  At Risk

  N/A

• Modification by Users

  Safe

  At Risk

  N/A

• Rough or Sharp Edges

  Safe

  At Risk

  N/A

• Latch / Keeper Seated in Nose Properly Without Binding

  Safe

  At Risk

  N/A

• Latch / Keeper is not Distorted or Obstructed

  Safe

  At Risk

  N/A

• Overall Deterioration / Excessive Wear

  Safe

  At Risk

  N/A

• Any Cracks

  Safe

  At Risk

  N/A

• Any Missing Parts

  Safe

  At Risk

  N/A

• Locking Mechanism is Working Properly

  Yes

  No

  N/A

• Snap Hook Keeper Mechanism is Working Properly

  Yes

  No

  N/A

Wire Rope / Lanyard Retraction & Tension Test

Do not pull lifeline out of the housing or let it retract while the unit is lying flat. Always inspect and operate the unit in a mounted position. The purpose of the lanyard retraction & tension test is to ensure the lifeline is retracting smoothly into and out of the housing.

• Cuts / Frayed Areas

  Safe

  At Risk

  N/A

• Worn or Broken Strands / Wires

  Safe

  At Risk

  N/A

• Overall Deterioration / Excessive Outside Wear

  Safe

  At Risk

  N/A

• Modifications by the User

  Safe

  At Risk

  N/A

• Corrosion / Pitting

  Safe

  At Risk

  N/A

• Crushed / Jammed or Flattened Strands

  Safe

  At Risk

  N/A

• Bulges in the Rope

  Safe

  At Risk

  N/A

• Gaps Between Strands

  Safe

  At Risk

  N/A

• Heat Damage / Torch Burns / Electrical Arc Strikes

  Safe

  At Risk

  N/A

• Kinks / Bird Caging

  Safe

  At Risk

  N/A

• Core Protrusion

  Safe

  At Risk

  N/A

SRL Retraction & Tension Test

The purpose of the lanyard retraction & tension test is to ensure the lifeline is retracting smoothly into and out of the housing.
Steps:
1.) Mount retractable on anchorage point
2.) Pull out 50% of the lifeline length
3.) Maintain a light tension on the lifeline (approx. 1 lb. (0.45kg)
4.) Allow lifeline to retract back into housing.
5.) Repeat Steps 2 to 4 this time pulling out 100% of lifeline length
Do not allow lifeline to retract into housing uncontrolled – this could result in injury and damage to the unit.
Note: If lifeline does not pull out smoothly or sticks when retracting, pull the entire lifeline out of the housing and allow it to retract slowly under tension. Then repeat the above test.
Result – The lifeline should pull out freely and retract all the way back into the unit. Remove from service if device does not pass this test.

• Does SRL Pass the Requirements of the Retraction & Tension Test?

  Pass

  Fail

• Date SRL is removed from service?

  Date

Braking Test

The purpose of the braking test is to ensure that the retractable braking mechanism is working and engaging.
Steps:
1.) Mount retractable on anchorage point
2.) Grasp lifeline and apply a sharp steady pull downward until brakes engage
3.) Keep tension on lifeline until brakes are fully engaged
4.) Release tension
5.) Allow lifeline to retract into housing under light tension
Result – Brakes should engage. There should be no slippage of the lifeline while the brakes are engaged. Once tensions released, the brakes should disengage and the unit should return to retractable mode. Remove from service if device does not pass this test.

• Does SRL Pass the Requirements of the Braking Test?

  Pass

  Fail

• Date SRL is removed from service?

  Date

• Comments / Further Action Required:

• Does the SRL meet requirements for use by Ecoserv personnel?

  Safe for Use

  Requires Cleaning

  Remove From Service (send to mfg. for service/inspection)

• Date SRL is removed from service:

  Date

• Date SRL is sent for repair / servicing:

  Date

• Comments:

If inspections reveal any defective condition / deficiencies, remove items from service and destroy or send for servicing as required.

• Person-In-Charge Signature:

  Sign

• Person-In Charge Comments:

• Inspector's Signature:

  Sign

• Inspector's Comments: