Information

  • Prepared by

  • Conducted on

  • CLIMBING AND LOWERING EQUIPMENT SAFETY CHECKS

  • Climbing Kit 1 lD

  • Date of last LoLer test

  • Date inspection due

  • Lowering kit 1lD

  • Date of last LoLer test

  • Date inspection due

  • Climbing Kit 2 lD

  • Date of last LoLer test

  • Date inspection due

  • Lowering kit 2 lD

  • Date of last LoLer test

  • Date inspection due

  • HAVE ALL DAILY CHECKS BEEN CARRIED OUT IN ACCORDANCE WITH THE MANUFACTURERS GUIDELINES?

  • WEEK ONE

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Add signature

  • WEEK TWO

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Add signature

  • WEEK 3

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Add signature

  • WEEK 4

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Add signature

  • Week 5

  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Add signature

  • Faults/ Damage Report:

  • Has all faulty / damaged equipment been quarantined in a safe location?

  • Select date

  • Have all defects / faults and damaged equipment been reported to your line manager?

  • Select date

  • Have all previous faulty/ damaged equipment been replaced / repaired?

  • Select date

  • UPDATED LoLER RECORDS

  • New equipment added to LoLer record: Unique ID number and description:

  • Withdrawn Equipment: Unique ID number and description:

  • REPORT ALL FAULTS/ DAMAGE TO YOUR LINE MANAGER - DO NOT USE FAULTY OR DAMAGED EQUIPMENT / MACHINERY

  • I CONFIRM THAT ALL CLIMBING AND LIFTING EQUIPMENT OUTLINED ON THE ISSUED LoLER CERTIFICATE HAS BEEN INSPECTED AND IS FIT FOR USE- ALL DEFECTS HAVE BEEN RECORDED AND APPROPRIATE ACTIONS TAKEN FOR EQUIPMENT WITH DEFECTS. ALL WITHDRAWN AND NEW EQUIPMENT HAS BEEN AMENDED ON THE LoLER RECORD AND DETAILED ABOVE.

  • Team Leader Signature:

  • Select date

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