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INSPECTION INFORMATION
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Inspector Name:

LANYARD INFORMATION

Model Name:

Date of manufacture:
Lanyard type:

Enter type:

WEBBING

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.

Termination (Stitch or Splice or Swage)

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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

Webbing Length

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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

Cuts

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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

Burns

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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

Holes

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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

Deterioration

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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

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

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.

Signs of Deployment

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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

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.

CONNECTORS & D-RINGS

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.

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.

Corrosion

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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

Pitting

LABELS & MARKINGS

Legible Label

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Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

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.

Date of First Use:
DEFINITION OF TERMS

DETERIORATION - Eaten or worn away by chemicals

PITTING - A small indentation in the surface

NICKS - A shallow notch, cut, or indentation on an edge or surface

NOTES

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.