Title Page
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Conducted on
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Person 1 completing gear checks
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Person 2 completing gear checks
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date gear check is completed
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Install currently using this equipment.
Harness check list
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Harness
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Harness Brand
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Harness serial number
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Photo of ID tag (mush be clear)
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Date of manufacture
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Harness Expiry date
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Are there any rips or tears on the harness?
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Where and what is the damage?
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Photo of damage.
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Does the harness have any wear marks or fraying?
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Where and what is the damage
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photo of damage
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Are all the stitching and seams in good condition?
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Where and what is the damage?
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Photo of damage
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Do the metal components have any rust or corrosion?
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Where and what is the damage?
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Photo of damage.
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Further comments on the harnesses condition.
Lanyard and scaff hooks check list
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Lanyard
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Lanyard Brand
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Lanyard serial number
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Photo of ID tag
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Date of manufacture
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Lanyard expiry date
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Does the lanyard have any rips or tears?
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Where and what is the damage?
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Photo of the damage
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Does the harness have any wear marks or fraying?
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Where and what is the damage?
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Photo of damage
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Are all the stitching and seams in good condition?
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Where and what is the damage?
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Photo of damage
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Do the metal components have any rust or corrosion?
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Where and what is the damage?
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Phoho of damage
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Further information on the lanyards condition
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Scaff hooks and Mallions
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Do the mallions have any rust, dents or cracks?
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Where and what is the damage?
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Photo of damage
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Do the Scaff hooks have and rust, dents or cracks?
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Where and what is the damage?
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Photo of damage
All other PPE
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Ladsafe
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Brand of ladsafe?
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Serial Number
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date of manufacture
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Are mall the mechanisms in good working order?
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Where and what is the damage?
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Photo of the damage
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Is there any Rust, Cracks or Dents?
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Where and what is the damage?
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Photo of the damage
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Helmet
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Helmet Brand
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Date of Manufacture
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is there any cracks or holes in the external casing?
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Where and what is the damage?
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Photo of damage
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Are the chin straps and buckles in good condition?
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Where and what is the damage?
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Photo of damage
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are the adjustable parts in good working order?
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Where and what is the damage?
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Photo of damage
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Drill
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Drill brand?
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Does the drill body have and Cracks, Dents or holes?
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Where and what is the damage?
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Photo of the damage
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Is the drills operation in good working order?
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Where and what is the damage?
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Are the drill clips, lanyard and snap locks in good condition?
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Where and what is the damage?
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Photo of the damage
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Are the batteries in good working order
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Where and what is the damage?
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Photo of the damage
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Rail vest (must have Southern USI name on the back)
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Is the vest in good condition?
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Show management before it goes back in the bag.
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Safety Glasses
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Is there safety glasses?
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Are the safety glasses in good working order?
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Show a member of management to get a new pair.
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Speak to a member of management to get a new pair.
Sign off
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Person 1
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Person 2
