Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
INSPECTION INFORMATION
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Select date
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Add location
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Inspector Name:
LANYARD INFORMATION
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Harness Model:
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Model Name:
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Date of manufacture:
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Serial #:
WEBBING
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Shoulder Straps
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Add media
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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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Chest & Back Straps
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Add media
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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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Waist Straps
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Add media
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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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Leg Straps
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Add media
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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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Cuts
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Add media
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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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Burns
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Add media
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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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Holes
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Add media
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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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Deterioration
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Add media
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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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Paint Damage
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Add media
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
STITCHING
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Shoulder Straps
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Add media
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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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Chest & Back Straps
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Add media
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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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Waist Straps
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Add media
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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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Leg Straps
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Add media
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
D-RINGS
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Back D-Ring
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Add media
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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
BUCKLES
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Shoulder Adjustment
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Add media
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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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Chest & Back Buckle Hardware
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Add media
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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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Chest Carabiner
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Add media
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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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Leg Straps
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Add media
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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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Appropriate ANSI / CSA / OSHA Markings
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Add media
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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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Legible Label
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Add media
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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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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
NOTES
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Enter Notes:
