Information
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Base
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Document No.
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Conducted on
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Equipment Owner
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Inspected by
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Job Title
Equipment Inspection
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What type of inspection is being completed?
Harness Inspection
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Serial number
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Date of Manufacture
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Date of Last Inspection
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Is the equipment within the Recommended Manufacturers Lifespan ?
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Are all components present ? If no, which ones are missing?
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Condition
Webbing
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Cuts
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Tears
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Abrasions
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Discolouration
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Burns/Heat Damage
Buckles
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Deformation
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Sharp Edges
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Corrosion
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Cracks
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Function
Stitching
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Missing
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Incomplete
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Damaged
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Frayed
Attachment Links
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Deformation
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Distortion
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Cracks
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Corrosion
Lanyard Inspection
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Serial number
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Date of Manufacture
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Date of Last Inspection
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Condition
Webbing
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Cuts
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Tears
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Abrasions
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Discolouration
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Burns/Heat Damage
Buckles
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Deformation
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Sharp Edges
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Corrosion
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Cracks
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Function
Stitching
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Missing
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Incomplete
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Damaged
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Frayed
Attachment Links
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Deformation
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Distortion
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Cracks
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Corrosion
Harness Inspection
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Serial number
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Date of Manufacture
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Date of Last Inspection
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Condition
Webbing
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Cuts
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Tears
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Abrasions
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Discolouration
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Burns/Heat Damage
Buckles
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Deformation
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Sharp Edges
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Corrosion
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Cracks
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Function
Stitching
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Missing
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Incomplete
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Damaged
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Frayed
Attachment Links
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Deformation
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Distortion
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Cracks
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Corrosion
Lanyard Inspection
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Serial number
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Date of Manufacture
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Date of Last Inspection
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Condition
Webbing
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Cuts
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Tears
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Abrasions
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Discolouration
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Burns/Heat Damage
Buckles
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Deformation
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Sharp Edges
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Corrosion
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Cracks
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Function
Stitching
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Missing
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Incomplete
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Damaged
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Frayed
Attachment Links
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Deformation
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Distortion
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Cracks
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Corrosion
Completion/signatures
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Is the equipment fit to remain in service ?
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Comments/further actions required
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Comments (Equipment owner)
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Comments (Inspector)
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Inspector's signature
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Inspectors Job Title