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ITS Technologies & Logistics Monthly Inspections

  • Lanyard Fall Protection Inspections

  • Division

  • Location / Site

  • GPS - Location
  • For Month Of:

  • Conducted on

  • Prepared by - Full Name

  • Employee Number

  • Note: Each Lanyard inspected - Must be completed and numbered accordingly to identify each individual inspection

  • Item or Lanyard Number #

Checklist

ITS Technologies & Logistics Monthly Inspections

Lanyard Fall Protection Inspections - Self Inspection Checklist

  • Guidelines: Mark each item P for Pass or F for Fail. If any fails inspection remove from service and destroy.

Note: Description of Ladder Inspection - Must be selected Below

  • 1. Flag Indicator?<br>

  • 2. Outside Core Webbing?<br>

  • 3. Core?<br><br>

  • 4. Stitching?<br><br>

  • 5. Labeling (Tags)?<br>

  • 6. Wear Pads?<br>

  • 7. Snap Hook?<br>

  • 8. Hook Body?<br>

  • 9. Hook Nose?<br>

  • 10. Gate (Keeper)?<br>

  • 11. Lock?

  • 12. Eye?

  • 13. Hinge?

  • 14. Spring (Inside Gate)?

  • 15. Assigned Location - Is Lanyard in Assigned Location? <br> * Mark in Notes what is location for this Item.<br>

Comments - Corrective Action:

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