Title Page
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Owner of Tools
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Inspected by
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Conducted on
Body Belts
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Leather
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D-Rings
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Metal Body Contacts
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Rivets
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Sewing/Lacing
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No Center Tool Loop
Harness
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Buckles
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Lanyard
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Snap Operation
Positioning Belt
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Snaps (Locking)
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Snap Operations
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Wear Indicators
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Enlarged Holes
Fall Restraint Equipment
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Snaps (Locking)
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Snap Operation
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Wear Indicators
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Enlarged Holes
Climbers
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Gaff Length (1 1/4" min.)
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Gaff Thickness
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Gaff Width
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Gaff Contour
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Gaff Guards
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Ankle Straps
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Pads
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Shanks (2 Secure Screws)
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Shanks (No Stress of Metal)
Pouches
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Tool
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Clearance from D-Ring
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Canvas Bag
Hard Hat
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Hat Liner
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Chin Strap
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Cleanliness
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Physical Condition
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Approved Stickers
Safety Glasses
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General Condition
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Proper Fit
480 Volt Arc Helmet
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General Condition
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Proper Fit
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Carrying Case
Traffic Safety
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Vest
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Leg Gators
Work Gloves
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General Condition
Rubber Gloves
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Class
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Date Tested
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Protectors
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Gauntlet Length 1"/10KV
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Storage Bag (Oily/Holes)
Low Voltage Gloves
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Class
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Date Tested
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Protectors
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Gauntlet Length 1"/10KV
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Storage Bag (Oily/Holes)
Rubber Sleeves
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Class
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Date Tested
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Storage Bag (Oily/Holes)
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Shoulder Straps
Rain Gear
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Jacket
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Bibs/Pants
Hand Tools
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Knife (General Condition)
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Hammer
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Adjustable Wrench
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Screw Driver
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Pliers
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Ruler
Driver's License and First Aid Card
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Driver's License Class
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List Class
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License Endorsements
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List Endorsements
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Driver's License Expiration Date
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DOT Physical Date
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First Aid/CPR Card Date Completed
