Title Page
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Conducted on
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Inspected by
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Is the equipment in suitable condition for inspection? Free from dirt and contamination?
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Inspection type
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Equipment Serial Number:
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Allocated to:
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Please select Inspection Type
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Date of Manufacture / First Use? (Week/Year)
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Within Manufacturers age limit?
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Webbing - Inspection if Missing, Cuts, Tears, Abrasions, Discolouration, Heat Damage, Frayed?
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Stitching - Inspection if Missing, Cuts, Tears, Abrasions, Discolouration, Heat Damage, Frayed?
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Buckles - Inspection for Deformation, Sharp Edges, Corrosion, Cracks, Function?
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Attachment Links - Inspection for Deformation, Sharp Edges, Corrosion, Cracks, Function?
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Date of Manufacture (Week/Year)
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Within Manufacturers Age Limit? (5 Years)
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Is the Webbing in a satisfactory condition? (Free from deformation, sharp edges, corrosion, cracks, rips, tears)
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Are the buckles in a satisfactory condition? (Free from deformation, sharp edges, corrosion, cracks, rips, tears)
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Are the connectors in a satisfactory condition? (Free from deformation, sharp edges, corrosion, cracks, rips, tears)
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Is the stitching in a satisfactory condition? (Missing, Incomplete, Damaged or Frayed)
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Is the Shock absorbing Pack still to be deployed and in a satisfactory condition? (Free from deformation, sharp edges, corrosion, cracks, rips, tears)
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Date of Manufacture (Week/Year)
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Within Manufacturers age limit?
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Effective Working Length (Metres)
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Is the Outer Sheath free from Cuts, Tears, Discolouration, Heat Damage and is the Core Fibres Encased?
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Is the label still attached and information clear to read?
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Is the stitching in a suitable condition? (missing, Incomplete, Damaged or Frayed?)
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Manufacturer / Supplier (week / Year):
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Effective working length:
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Are all components in place and free from damage?
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Is the External Casing free from cracks, dents, heat damage, and fall incidents?
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Is the internal mechanism working effectively? (Attachments point swivel, connectors working, cable break effective, cable out/in)
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Is the cable free from Kinks, Distortion, Corrosion, Abrasion, cuts or breaks?
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Is there a service date stamp present and is this within date?
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Photo of the Equipment
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Photo of the Identification attached to the equipment
Summary
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Signed