Information

  • Conducted on

  • Prepared by

  • Location of Job

  • Other equipment being used

  • Item(s) being inspected

Lanyard Type:

  • Check Type of Lanyard

TYPE OF INSPECTION

  • type of inspection

  • Item(s) being inspected

Harness:

  • are you inspecting a harness

Harness info

  • colour

  • harness Serial No

  • expiry date of certification

  • Photo of harness labelling and tags

Harness Type:

  • Check Type Harnesses Inspecting

  • Details of other

  • Areas checked

Defects

  • were any defects found?

  • Description of defects found

  • Take photos of any defects found

  • Can the Item remain in service?

Lanyards

This inspection MUST be completed by an independent inspector (NOT the user )

  • This inspection is being completed by an independent inspector (NOT the user )

  • Manufacturer

  • expiry date of certification

  • Photo of harness labelling and tags

Lanyard Type:

  • Check Type of Lanyard

  • Items checked

Defects

  • were any defects found?

  • Description of defects found

  • Take photos of any defects found

  • Can the Lanyard remain in service?

Lanyard

  • Is this a lanyard inspection

Lanyard

  • colour

  • Lanyard Serial No

  • Manufacturer

  • expiry date of certification

  • Photo of harness labelling and tags

  • Reference numbers or last 4 numbers of the serial numbers on the harness/lanyard

  • details of the pre use inspection

  • details of actions taken

  • Item must be withdrawn form service

  • Item(s) being inspected

Items checked

  • Items checked

Defects

  • were any defects found?

  • Description of defects found

  • Take photos of any defects found

Items checked

  • Items checked

Defects

  • were any defects found?

  • Description of defects found

  • Take photos of any defects found

Items checked

  • Items checked

Defects

  • were any defects found?

  • Description of defects found

  • Take photos of any defects found

  • Can the Item(s) remain in service?

  • Please detail the actions taken

  • Is the equipment safe for use

  • Inspectors Signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.