LANYARD ANNUAL INSPECTION CHECKLIST

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

LANYARD IDENTIFICATION

• Lanyard Manufacturer

  Yes

  No

  N/A

• Lanyard Model

  Yes

  No

  N/A

• Lanyard Lot Number

  Yes

  No

  N/A

• Lanyard Serial Number

  Yes

  No

  N/A

• Date of Manufacture

  Yes

  No

  N/A

• Lanyard In-service Date

  Yes

  No

  N/A

• Lanyard Length

  Yes

  No

  N/A

• Lanyard CSA Class E4

  Yes

  No

  N/A

• Lanyard CSA Class E6

  Yes

  No

  N/A

HARDWARE

• Snap Hooks<br>Inspection of these will consist of looking for eye distortions, cracking, corrosion or pitted surfaces with no distortion at the hook or eye (twists, bends or elongation). Snap hook must be of the self-locking type and the keeper/latch/gate should seat into the nose without binding and have no more then the width of two Canadian nickels of play when closed.

  Safe

  At Risk

  N/A

WEBBING

• Inspect the entire length of all the webbing looking for frayed edges, broken fibers, pulled stitching, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any webbing that has been marked on with a felt pen, excessive hardness or brittleness or whether the Warning Flag has Ben activated.

  Safe

  At Risk

  N/A

STITCHING

• Stitching<br>Check all stitching for ripped or pulled stitches and to make sure the webbing joints are not loose. Also look for missing stitching, hard or shiny spots, or discoloration of stitching.

  Safe

  At Risk

  N/A

OVERALL DISPOSITION

• Lanyard is approved for use at time of inspection. <br>

  Yes

  No

  N/A

• Lanyard is NOT approved for further use and must be removed

  Yes

  No

  N/A