Information
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Engineer Name
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Tech Number
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Conducted on
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Prepared by
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Location
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What type of engineer is this?
PPE (personal issue) CLIMBING
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Body Harness
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Serial Number
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Manufactures Date
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Small Karabiners - qty x5
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
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Large Karabiners
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Cows Taill
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Serial Number
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Manufacturers Date
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Rope Grab
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20mm Re-usable Eyebolts
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
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12mm Eyebolts
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
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15m Kermantle Rope
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Serial Number
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Manufacturers Date
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10m Kermantle Rope
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Serial Number
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Manufacturers Date
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5m Kermantle Rope
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Serial Number
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Manufacturers Date
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Goggles
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Hard Hat
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Manufacturers Date
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Safety Boots
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Retractable Safety Line
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Serial Number
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Manufacturers Date
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Adjustable Webbing Strap - Various lengths
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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Continuous Loop Webbing Slings
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
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10m Blue Web Strap with Ratchet
Other Safety Equipment
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Extension Ladder Size
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Fit for Purpose
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Extension Roof Ladder
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Combination Ladders/Step Ladders
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Microlite
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Laddermate
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Ladder Spike
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Crawl Board(s)
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Chimney Kit/Strop
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Serial Number
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Manufacturers Date
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Soft Slings (part of chimney kit)
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Knee Pads
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Gloves
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Ear Protection
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Eye Protection
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Hi-Viz Vest
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Dust Mask
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Gravel Bag
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Ladder Clamps
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Voltage/Metal and Stud Detector
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Cones x2
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Hazards Analysis Form
SAT/DAT Equipment
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Alternate ladder size
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Fit for Purpose
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8 Rung Roof Ladder Ext Piece x2 (DAT)
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Conservatory Bearer Bar x2 (DAT)
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Ladder Lock x2 (DAT)
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Ridgegear Multi Task Comfort Harness - RGH16
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Serial Number
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Manufacturers Date
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Camp Silver Star Helmet
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Serial Number
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Manufacturers Date
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Ridgegear 11mm Kermantle rope x 50mtrs - RGA12R
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Serial Number
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Manufactures Date
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Ridgegear Rocker - RGA14 - Lockable (back up device)
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Serial Number
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Camp 10mm Delta Maillon
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
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Camp Safety AXEL (pn 1686) belay device
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Petzl 1mtr x 10mm wire rope (protected) min SWL 250kgs
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Serial Numbers
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30mtr x 7mm Static ACC. Cord
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Camp Rope protectors
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
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Camp Single pulley blocks - fixed sheave for 11mm rope
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Verify Qty
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Camp Kit bags - 30ltr rucksack
Notes, Coaching and Comments
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Have you made a record of any/all items that need replacing?
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Please list items that need replacing/ordering and supply reasons and photographs where applicable.
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Add media
ENGINEERS DECLARATION - I confirm
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That the above equipment has been issued to and is used by me.
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That no other equipment is used without authorisation, and a full inspection has been carried out by the SHS - PPE & Equipment Examiner.
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Engineer's Signature
PERSON CARRYING OUT THE INSPECTION
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TM's Signature
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NOTE - if any items are found defective they are to be isolated and replaced as soon as possible
