Height Safety Equipment Inspection Ver 1.1

• Marcom Communications Height Safety Epuipment Audit Ver 1.1

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Harness

• Brand

• Manufacture date

  Date

• Expiry date

  Date

• Serial number

• Condition

  As New

  Acceptable

  Identifier legible

  Repair required

  Condemned

• Evidence

  Media

Pole Strap

• Brand

• Manufacture date

  Date

• Expiry date

  Date

• Serial number

• Condition

  As New

  Acceptable

  Identifier legible

  Repair required

  Condemned

• Evidence

  Media

Safety Line

• Brand

• Manufacture date

  Date

• Expiry date

  Date

• Serial number

• Condition

  As New

  Acceptable

  Identifier legible

  Repair required

  Condemned

• Evidence

  Media

Carabiners

• Brand

• Condition

  As New

  Acceptable

  Identifier legible

  Repair required

  Condemned

• Evidence

  Media

Lanyards

• Brand

• Manufacture date

  Date

• Expiry date

  Date

• Serial number

• Condition

  As New

  Acceptable

  Identifier legible

  Repair required

  Condemned

• Evidence

  Media

Roof Anchors

• Brand

• Manufacture date

  Date

• Expiry date

  Date

• Serial number

• Condition

  As New

  Acceptable

  Identifier legible

  Repair required

  Condemned

• Evidence

  Media

Final

• Technician signature

  Sign

• Supervisor signature

  Sign