ITSTL - Lanyard Inspections Monthly

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ITS Technologies & Logistics Monthly Inspections

• Lanyard Fall Protection Inspections

• Division

  In-Terminal

  AAW

  CGI

  ACS

• Location / Site

• GPS - Location
  Address

• For Month Of:

• Conducted on

  Date

• 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 #

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>

  Pass

  Fail

  N/A

• 2. Outside Core Webbing?<br>

  Pass

  Fail

  N/A

• 3. Core?<br><br>

  Pass

  Fail

  N/A

• 4. Stitching?<br><br>

  Pass

  Fail

  N/A

• 5. Labeling (Tags)?<br>

  Pass

  Fail

  N/A

• 6. Wear Pads?<br>

  Pass

  Fail

  N/A

• 7. Snap Hook?<br>

  Pass

  Fail

  N/A

• 8. Hook Body?<br>

  Pass

  Fail

  N/A

• 9. Hook Nose?<br>

  Pass

  Fail

  N/A

• 10. Gate (Keeper)?<br>

  Pass

  Fail

  N/A

• 11. Lock?

  Pass

  Fail

  N/A

• 12. Eye?

  Pass

  Fail

  N/A

• 13. Hinge?

  Pass

  Fail

  N/A

• 14. Spring (Inside Gate)?

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

Comments - Corrective Action: