Title Page
INSPECTION INFORMATION
-
Select date
-
Inspector Name:
LANYARD INFORMATION
-
Model Name:
-
Date of manufacture:
-
Serial #:
HOUSING
-
Anchorage Point
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Nuts or Bolts or Rivets
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Swivels
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Evidence of Damage
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
LIFELINE (Webbing, Cable, Synthetic)
-
Termination (Stitch or Splice or Swage)
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Cuts
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Fraying
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Excessive Wear
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Cable Seperating
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Entire Length Retracts Smoothly
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Reserve Lifeline Deployed
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
SHOCK PACK
-
Integrity of Cover
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Signs of Damage
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Impact Indicator
-
Add media
-
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
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Impact Indicator
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Body of Hook or Rivets
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Corrosion
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Pitting
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Nicks
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
LABELS & MARKINGS
-
Legible Label
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Appropriate ANSI / CSA / OSHA Markings
-
Add media
-
Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.
-
Date of First Use:
-
Date of Last Manufacturer Recertification:
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
-
Enter Notes:
