Title Page
INSPECTION INFORMATION
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Inspector Name:
LANYARD INFORMATION
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Model Name:
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Date of manufacture:
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Serial #:
D-RING
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Signs of Deformity
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
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Body of D-Ring
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Corrosion
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Pitting
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
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Nicks
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
CABLE
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Signs of Damage
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Kinks or Caging
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Broken Strands or Fibers
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WEBBING
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Termination to Connector
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Cuts
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Soiled
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Burned
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Melting
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Deterioration
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BODY OF ANCHORAGE
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Bars, Shafts, Housing
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
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Signs of Damage
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
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Corrosion or Pitting
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
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Impact Indicators
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
LABELS & MARKINGS
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Legible Label
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Appropriate ANSI / CSA / OSHA Markings
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Date of First Use:
DEFINITION OF TERMS
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DETERIORATION - Eaten or worn away by chemicals
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PITTING - A small indentation in the surface
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NICKS - A shallow notch, cut, or indentation on an edge or surface
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KINKS - A tight curl, twist, or bend in a length of material.
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CAGING - Intertwined in a confused mass.
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SOILED - Dirty, stained, or tarnished surface.
NOTES
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