Title Page

  • Conducted on

  • Inspected by

  • Is the equipment in suitable condition for inspection? Free from dirt and contamination?

  • Inspection type

  • Equipment Serial Number:

  • Allocated to:

  • Please select Inspection Type

  • Date of Manufacture / First Use? (Week/Year)

  • Within Manufacturers age limit?

  • Webbing - Inspection if Missing, Cuts, Tears, Abrasions, Discolouration, Heat Damage, Frayed?

  • Stitching - Inspection if Missing, Cuts, Tears, Abrasions, Discolouration, Heat Damage, Frayed?

  • Buckles - Inspection for Deformation, Sharp Edges, Corrosion, Cracks, Function?

  • Attachment Links - Inspection for Deformation, Sharp Edges, Corrosion, Cracks, Function?

  • Date of Manufacture (Week/Year)

  • Within Manufacturers Age Limit? (5 Years)

  • Is the Webbing in a satisfactory condition? (Free from deformation, sharp edges, corrosion, cracks, rips, tears)

  • Are the buckles in a satisfactory condition? (Free from deformation, sharp edges, corrosion, cracks, rips, tears)

  • Are the connectors in a satisfactory condition? (Free from deformation, sharp edges, corrosion, cracks, rips, tears)

  • Is the stitching in a satisfactory condition? (Missing, Incomplete, Damaged or Frayed)

  • Is the Shock absorbing Pack still to be deployed and in a satisfactory condition? (Free from deformation, sharp edges, corrosion, cracks, rips, tears)

  • Date of Manufacture (Week/Year)

  • Within Manufacturers age limit?

  • Effective Working Length (Metres)

  • Is the Outer Sheath free from Cuts, Tears, Discolouration, Heat Damage and is the Core Fibres Encased?

  • Is the label still attached and information clear to read?

  • Is the stitching in a suitable condition? (missing, Incomplete, Damaged or Frayed?)

  • Manufacturer / Supplier (week / Year):

  • Effective working length:

  • Are all components in place and free from damage?

  • Is the External Casing free from cracks, dents, heat damage, and fall incidents?

  • Is the internal mechanism working effectively? (Attachments point swivel, connectors working, cable break effective, cable out/in)

  • Is the cable free from Kinks, Distortion, Corrosion, Abrasion, cuts or breaks?

  • Is there a service date stamp present and is this within date?

  • Photo of the Equipment

  • Photo of the Identification attached to the equipment

Summary

  • Signed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.