Information

  • Item description

  • This inspection carried out on.

  • Last inspection carried out.

  • Was the last inspection completed within the last 12 months?

  • Serial #

  • Model #

  • Hardware Location

  • Date of Manufacture (if marked)

  • Withdrawal date

  • Factory Order # / Lot #

  • Manufacturer

  • Prepared by (enter name).

  • Location

3 Rope

  • Add photo(s) of the rope being inspected.

Rope

  • Are any splices loose / coming out?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Is any of the inner core damaged? (Look for voids)

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Is there any fraying in the rope?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Is any of the core showing through the sheath?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Are there any cuts / pulls in the rope?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Are there any burns in the rope?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Are there any knots in the rope?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Is there any heat damage / glazing evident in the rope?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Is there any Bird Caging?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Is there any discolouration?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Is there any Dirt / Grease / Resin contaminating the rope?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Is any of the rope Stretched / Kinked?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

  • Is there any paint or rust staining?

  • Enter details of issues found. Is the rope ok to use or does it need to be removed from service and destroyed?

  • Add photos of any issues found.

4 Final Appraisal

Action to be taken

  • Select one only

Overall PASS or FAIL

  • Based on the inspection what is the overall result?

  • Signature of person finalising inspection and result.

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.