Information
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Job Number
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Homesafe Full Audit On
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Conducted on
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Prepared by
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Location
Test Equipment Inspection
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Pipe Detector ( Serial Number + Date of Manufacture )
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Detector working Correctly?
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Sat Meter (Serial Number )
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Meter working Correctly
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Drill ( Serial Number + Date of Manufacture )
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Does the Drill working correctly
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Is the Drill Charger / Appliance in good working order
Small Portable Appliance Visual Inspection Checklist
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Drill charger serial number
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Drill serial number
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Is the cable sheath damaged
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Has the cable been joined
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Is the cable secure at the plug end
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Is the cable secure at the appliance end
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Is the plug casing cracked
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Are the pins on the plug bent
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Is the fuse rating correct
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Has the appliance been subject to extreme conditions ( i.e wet / excessively contaminated )
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Is there damage to the external casing of the equipment
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Is there damage to the switch
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Does the appliance work correctly
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Any faulty electrical equipment must be removed from service and inspected by a qualified electrician
Fall Arrest Equipment Inspection
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Harness
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Inspection Number
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Select date
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General Appearance
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Metal Fitting
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Buckles & Fastening
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Rip Stitch Intact
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Visual Inspection of Web & Stitch
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Physical inspection of Web & Stitch
Fall Arrest Equipment Inspection
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Kernmantle Rope 10m
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Identification Number
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Select date
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General Appearance
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Knot Condition
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Rope End Creeping
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Rip Stitch Intact
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Kernmantle Rope 10m
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Physical Inspection of Full Length
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Kernmantle Rope 8m
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Identification Number
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General Apperance
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Knot Condition
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Rope End Creeping
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Rip Stitch Intact
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Physical Inspection of Full Length
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Rope Grab
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Identification Number
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General Appearance / Operation
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Cam Front Lobe Scored or Damaged
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Attachment Point Wear or Cracked
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Safety Mechanism Operation
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Check Operation on Sample Rope
2m Endless Tape Sling
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General Appearance
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Visual inspection of Web & Stitch
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Physical Inspection of Web & Stitch
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Tear Webbing
Cow Tail
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Identification Number
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Select date
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General Appearance
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Eye Loops / Stitching
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Visual inspection of Web & Stitch
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Tear Webbing
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Fall Arrest Equipment Inspection
12m Eyebolt x 2
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General Appearance
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Male Thread Condition
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Metal / Rubber bond on Elastomer
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Adapter Tight
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Hanger Nut Tight
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Re-Assemble and Check Operation
18mm x 150cm Endless Sling
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Identification Number
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Select date
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General Appearance / Visual
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Visual Inspection Cord /Stitching
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Physical Inspection Cord / Stitching
1m Ratchet Strap
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General Appearance
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Visual Inspection Web & Stiching
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Physical Inspection Web & Stitching
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Check Operation / Slippage Test
4m Ratchet Strap
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General Appearance
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Visual Inspection Web & Stiching
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Physical Inspection Web & Stitching
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Check Operation / Slippage Test
10m Ratchet Strap
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General Appearance
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Visual Inspection Web & Stiching
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Physical Inspection Web & Stitching
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Check Operation / Slippage Test
Drill Bandolier
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General Appearance
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Visual Inspection Web & Stitching
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Physical Inspection Web & Stitching
Karabiner 1
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General Appearance
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Operation
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Mechanical Damage
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Corrosion
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Pin
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Latch
Karabiner 2
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General Appearance
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Operation
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Mechanical Damage
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Corrosion
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Pin
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Latch
Karabiner 3
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General Appearance
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Operation
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Mechanical Damage
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Corrosion
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Pin
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Latch
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Ladder Inspection
Roof Ladder 1 ( Cat )
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Stiles
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Rungs
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Guides
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Roof Hook Assembly
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Wheels
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Roof Rests
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Serial Number
Roof Ladder 2
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Stiles
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Rungs
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Guides
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Caps
Folding Ladder
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Stiles
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Rungs
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Guides
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Caps
Ladders
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Ladder 1
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Stiles
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Rungs
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Guides
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Feet
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Head Caps
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Secure Hooks / Locks
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Comments
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Ladders to be checked for:
Twisting and distortion, feet / head caps, not worn and in good condition, oxidisation or corrosion, loose wheels, bent, distorted or worn rungs, roof hook buckling, loose rung crimps, broken rivets
Associated Ladder Equipment Inspection
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Microlite / Stand off
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Laddermate
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Engineers signature
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Manager signature
