Information
The following equipment has been inspected in accordance with SHS Equipment Maintenance Schedules
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Name of engineer & Tech number
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Team
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Inspection carried out by
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Conducted on
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Location of inspection
Body harness - 7 Years from first use and 10 years from manufacture
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Serial Number
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
Cows Tail - 7 Years from first use and 10 years from manufacture
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Serial Number
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
Rope Grab
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Reason for fail
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Date of Inspection
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Add media
Kernmantle Ropes - 5 Years from first use and 10 years from manufacture
15 meter kernmantle rope
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Serial Number
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
10 meter kernmantle rope
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Serial Number
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
5 meter kernmantle rope
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Serial Number
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
Retractable safety line - 5 Years from first use and 10 years from manufacture
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Serial Number
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
Adjustable Webbing Strap - various lengths
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
Continuous Loop Webbing Slings
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
Soft Slings
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
Small Karabiners - Qty x5
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
Large Karabiners
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
20mm Re-useable Eyebolts
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
12mm Eyebots
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
Microlite
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Reason for fail
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Date of Inspection
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Add media
Laddermate
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Reason for fail
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Date of Inspection
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Add media
Ladder Spike
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Reason for fail
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Date of Inspection
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Add media
Extension Ladder
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Please select size of ladder
- 12s
- 14s
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Reason for fail
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Date of Inspection
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Add media
Extension roof ladder
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Reason for fail
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Date of Inspection
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Add media
Combination/Step Ladders
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Please select type of ladder
- Combination ladder
- Step ladder
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Reason for fail
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Date of Inspection
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Add media
Crawl Boards
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Reason for fail
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Date of Inspection
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Add media
Gravel Bag
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Reason for fail
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Date of Inspection
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Add media
Cable Rods
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Reason for fail
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Date of Inspection
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Add media
Chimney Kit/Strop
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Serial number
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
Hard Hat
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
Goggles
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Reason for fail
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Date of Inspection
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Add media
Safety Boots
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Reason for fail
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Date of Inspection
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Add media
Knee pads
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Reason for fail
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Date of Inspection
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Add media
Gloves
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Reason for fail
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Date of Inspection
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Add media
Ear protection
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Reason for fail
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Date of Inspection
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Add media
Eye protection
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Reason for fail
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Date of Inspection
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Add media
Hi-Viz Vest
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Reason for fail
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Date of Inspection
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Add media
Dust Masks
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Reason for fail
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Date of Inspection
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Add media
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Does the engineer carry DAT equipment?
8 Rung roof ladder Ext Piece x2
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Reason for fail
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Date of Inspection
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Add media
Conservatory Bearer Bar x2
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Reason for fail
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Date of Inspection
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Add media
Ladder lock x2
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Reason for fail
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Date of Inspection
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Add media
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Is the engineer SAT trained?
Ridgewear Multi Task Comfort Harness - RGH16
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Serial number
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
Camp Silver Star Helmet
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
Ridgegear 11mm Kernmantle rope x 50 mtrs - RGA12R
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Serial number
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Reason for fail
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Date of Inspection
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Manufactures date
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Add media
Ridgegear Rocker - RGA14 - lockable (back up device)
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Serial number
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Reason for fail
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Date of Inspection
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Add media
Camp 10mm Delta meillon
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
Camp Safety AXEL (pn 1686) belay device
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Reason for fail
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Date of Inspection
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Add media
Petzl 1mtr x 10mm wire rope (protected) min SWL 250Kgs
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Serial number
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Reason for fail
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Date of Inspection
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Add media
Camp rope protectors
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
Camp Single pulley blocks - fixed sheave for 11mm rope
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Reason for fail
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Date of Inspection
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Verify Qty
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Add media
Camp Kit bags - 30ltr rucksack
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Reason for fail
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Date of Inspection
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Add media
ENGINEERS DECLARATION - I Confirm
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* That the above equipment has been issued and used by me
* That no other equipment is used without authorisation, and full inspection has been carried out by the HS&S - PPE & Equipment examiner -
Name
PERSON CARRYING OUT THE INSPECTIONS
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On behalf of BSKYB - Home Service and Supply (HS&S)
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Name
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Position