Intertek AIM Fall Protection Inspection Form

Intertek AIM

Intertek AIM Fall Protection Inspection Form Checklist

Document the 6 month competent person inspection

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Print as PDF

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1. Harness

Was Harness Inspected?
Enter serial number
Enter manufacture date
Webbing not cut?
Webbing not frayed?
Webbing has no abrasions?
Webbing stitching not damaged?
Webbing has no chemical exposure?
Webbing has no sun damage?
Hardware not deformed?
Hardware has no corrosion or rust?
Hardware has no chemical exposure?

2. Lanyard

Was Lanyard Inspected?
Enter serial number
Enter manufacture date
Webbing not cut?
Webbing not frayed?
Webbing has no abrasions?
Webbing stitching not damaged?
Webbing has no chemical exposure?
Webbing has no sun damage?
Hardware not deformed?
Hardware has no corrosion or rust?
Hardware has no chemical exposure?
Double latch hook present?
Gate operates correctly?
Double lock operates correctly?

3. SRL

Was SRL Inspected?
Enter serial number
Enter manufacture date
Webbing not cut?
Webbing not frayed?
Webbing has no abrasions?
Webbing stitching not damaged?
Webbing has no chemical exposure?
Webbing has no sun damage?
Hardware not deformed?
Hardware has no corrosion or rust?
Hardware has no chemical exposure?
Double latch hook present?
Gate operates correctly?
Double lock operates correctly?

4. Extension

Was Extension Inspected?
Enter serial number
Enter manufacture date
Extension is not deformed?
Extension not frayed?
Webbing stitching not damaged?
Webbing has no chemical exposure?
Webbing has no sun damage?
Hardware has no corrosion or rust?
Hardware has no chemical exposure?

5. Comments

Enter comments

Intertek AIM Fall Protection Inspection Form

Intertek AIM

Intertek AIM Fall Protection Inspection Form

Document the 6 month competent person inspection

Use this Template

Print as PDF

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