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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Lanyard type:
- Flat Web w/ Pouch
- Tubular Web-Elastic Pouch
- Tubular Web w/ POY
- Cable Web w/ Pouch
- Y-Lanyard
- Internal Shock Bungee
- Internal Shock Non-Bungee
- Other
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Enter type:
WEBBING
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Broken, Missing, or Loose Stitching
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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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Termination (Stitch or Splice or Swage)
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Webbing Length
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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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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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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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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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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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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
SHOCK PACK
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Integrity of Cover
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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 Deployment
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Signs of Damage
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CONNECTORS & D-RINGS
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Function of Connector Locking Gate
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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 Hook or Rivets
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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
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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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Pitting
LABELS & MARKINGS
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Legible Label
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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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Appropriate ANSI / CSA / OSHA Markings
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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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