Information
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Item description
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This inspection carried out on.
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Last inspection carried out.
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Was the last inspection completed within the last 12 months?
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Hardware Location
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Model #
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Serial #
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Date of Manufacture
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Factory Order # / Lot #
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Manufacturer
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Withdrawal date
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Inspection completed by (enter name).
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Location
1 Condition, Housing, Handle & Impact Indicator
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This checklist should be used for completing inspections of type 2 & 3 fall arresters as per AS/NZS 1891.4.
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Add photo(s) of item being inspected.
Type 2 & 3
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Is the Hardware beyond its annual service date?
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Enter how far past it's required annual service date the hardware is and any other information related to this issue.
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Enter photos of previous test tag (if possible) showing the date when it was due.
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Does the lifeline retract completely?
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Enter details of any issues found?
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Enter photos of any issues found.
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Does the lifeline lock-off completely?
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Enter details of any issues found?
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Enter photos of any issues found.
Housing
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Are there any cracks / distortion in the housing?
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Enter details of any issues found?
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Enter photos of any issues found.
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Are there any dents that are impeding the operation of the fall arrester housing?
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Enter details of any issues found?
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Enter photos of any issues found.
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Is the housing dirty or contaminated?
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Enter details of any issues found?
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Enter photos of any issues found.
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Is the fall arresters housing missing any parts such as screws, bolts, etc?
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Enter details of any issues found?
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Enter photos of any issues found.
Handle
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Is the handle damaged?
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Enter details of any issues found?
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Enter photos of any issues found.
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Is the handle bent / loose?
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Enter details of any issues found?
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Enter photos of any issues found.
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Is the handle missing any parts / screws?
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Enter details of any issues found?
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Enter photos of any issues found.
Impact Indicator (where applicable)
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Is the impact indicator damaged?
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Enter details of any issues found?
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Enter photos of any issues found.
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Is the impact indicator missing?
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Enter details of any issues found?
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Enter photos of any issues found.
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Is the impact indicator deployed?
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Enter details of any issues found?
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Enter photos of any issues found.
2 Webbing
Webbing
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Are there any cuts, tears or holes in the webbing?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Are there any burns in the webbing?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Are there any frays in the webbing?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Are there any knots in the webbing?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Is there any grease or grime on the webbing?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Is there any UV damage visible in the webbing?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Is there any Paint on the webbing?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Is there any Discolouration in the webbing?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Is there any Mould on the webbing?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Is any of the stitching or stitching pattern missing / damaged?
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
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Is there any Heat damage / glazing on the webbing.
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Enter details of issues found. Is the harness ok to use or does it need to be removed from service and destroyed?
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Add photos of any issues found.
3 Labels
Labels
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Are labels present and attached? (Enter details of any issues found)
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Enter corrective action taken or the action required to address the issue. (Does the harness need to be removed from service).
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Add photos of any issues found.
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Are labels legible? (Enter details of any issues found)
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Enter corrective action taken or the action required to address the issue. (Does the harness need to be removed from service).
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Add photos of any issues found.
4 Connectors and Wire Rope
Connectors - including Karabinas, Snap Hooks and Tube Nut connectors.
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Are any of the connectors cracked?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Do any of the connectors have sharp edges?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Do any of the connectors have any missing parts?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Are any of the connectors corroded?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Are all of the connectors labelled with details such as SWL?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Are any of the connectors bent / distorted?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Do any of the connectors have sticky gates?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Do any of the connectors stay open or won't lock?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Are the connectors covered in excessive dirt / grease?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Do any of the connectors close but won't lock?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
Wire Rope
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Is any of the Wire Rope heat damaged?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is any of the Wire Rope kinked?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Does the Wire Rope have a missing / damaged thimble?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is any of the Wire Rope loose or does it have a loose termination?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is any of the Wire Rope corroded or is there any corrosion evident?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is any of the Wire Rope distorted?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Does any of the wire rope have any broken wires?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Can you see any separation of strands in the wire rope?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is the wire rope dirty / greasy?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is there any bird caging in the wire rope?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
5 Shock Absorber
Shock Absorber
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Has the shock absorber been deployed? Is it stretched / elongated?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Are there any cuts / tears / abrasions present on the shock absorber?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is the shock absorber excessively soiled.
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is there any UV damage / fading in the shock absorber?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Are there any holes / burns in the shock absorber?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is the plastic cover missing?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
6 Stitching
Stitching
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Is there any missing stitch patterns?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is any of the stitching burned?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is any of the stitching cut?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is any of the stitching pulled?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
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Is any of the stitching broken?
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Enter corrective action taken or the action required to address the issue.
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Add photos of any issues found.
7 Final Appraisal
Action to be taken
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Select one only
- Clean & Re-Inspect
- Return to Manufacturer for Clarification
- Return to Service
- Remove from service and Destroy
Overall PASS or FAIL
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Based on the inspection what is the overall result?
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Signature of person finalising inspection and result.
