QLD SES - WSAH Kit Inspection

• WSAH Kit Number

• WSAH Kit Location

• Inspection Location

• Location
  Address

• Conducted on

  Date

• Inspected By

• Assisting Personnel

• Any failed responses should be raised with your Group Leader & an "Out Of Service" tag placed on the rope bag.

Rope Information

• Enter date of Manufacture (refer Kit Equipment Register in kitbag)

  Date

• Is this date within 10 years of today's date?

  Yes

  No

  N/A

• Enter "Date Of In-Service" (refer Kit Equipment Register in kitbag)

  Date

• Rope colour:

• Are the rope identification tags still attached on the ends of the rope?

  Yes - Both

  Yes - One

  No - Missing

• Add photos of the rope's identification tags (check the ends of the rope)

  Media

Rope Condition

• Free of Cuts?

  Yes

  No

  N/A

• Free of Frays & Abrasions

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Clean & free of dirt, oil, paints, etc?

  Yes

  No

  N/A

• Free of Mold?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

• Free from shock damage? (damage from shock loading, falls, etc)

  Yes

  No

  N/A

• Add photos of any damage on the rope.

  Media

Overall inspection Info:

• IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY.

• Is this rope OK to remain in service?

  Yes

  No

  N/A

• Has the new compliance tag been inscribed with the next inspection date?

  Yes

  No

  N/A

• Add photos of the compliance tag(s) here.

  Media

• Signature of Inspector

  Sign

• Any failed responses should be raised with your Group Leader & an "Out Of Service" tag placed on the rope bag.

Rope Information

• Enter date of Manufacture (refer Kit Equipment Register in kitbag)

  Date

• Is this date within 10 years of today's date?

  Yes

  No

  N/A

• Enter "Date Of In-Service" (refer Kit Equipment Register in kitbag)

  Date

• Rope colour:

• Are the rope identification tags still attached on the ends of the rope?

  Yes - Both

  Yes - One

  No - Missing

• Add photos of the rope's identification tags (check the ends of the rope)

  Media

Rope Condition

• Free of Cuts?

  Yes

  No

  N/A

• Free of Frays & Abrasions

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Clean & free of dirt, oil, paints, etc?

  Yes

  No

  N/A

• Free of Mold?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

• Free from shock damage? (damage from shock loading, falls, etc)

  Yes

  No

  N/A

• Add photos of any damage on the rope.

  Media

Overall inspection Info:

• IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY.

• Is this rope OK to remain in service?

  Yes

  No

  N/A

• Has the new compliance tag been inscribed with the next inspection date?

  Yes

  No

  N/A

• Add photos of the compliance tag(s) here.

  Media

• Signature of Inspector

  Sign

• Any failed responses should be raised with your Group Leader & an "Out Of Service" tag placed on the rope bag.

Rope Information

• Enter date of Manufacture (refer Kit Equipment Register in kitbag)

  Date

• Is this date within 10 years of today's date?

  Yes

  No

  N/A

• Enter "Date Of In-Service" (refer Kit Equipment Register in kitbag)

  Date

• Are the rope identification tags still attached on the ends of the rope?

  Yes - Both

  Yes - One

  No - Missing

• Add photos of the rope's identification tags (check the ends of the rope)

  Media

Rope Condition

• Free of Cuts?

  Yes

  No

  N/A

• Free of Frays & Abrasions

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Clean & free of dirt, oil, paints, etc?

  Yes

  No

  N/A

• Free of Mold?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

• Free from shock damage? (damage from shock loading, falls, etc)

  Yes

  No

  N/A

• Add photos of any damage on the rope.

  Media

Overall inspection Info:

• IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY.

• Is this rope OK to remain in service?

  Yes

  No

  N/A

• Has the new compliance tag been inscribed with the next inspection date?

  Yes

  No

  N/A

• Add photos of the compliance tag(s) here.

  Media

• Signature of Inspector

  Sign

• Any failed responses should be raised with your Group Leader & an "Out Of Service" tag placed on the rope bag.

Rope Information

• Enter date of Manufacture (refer Kit Equipment Register in kitbag)

  Date

• Is this date within 10 years of today's date?

  Yes

  No

  N/A

• Enter "Date Of In-Service" (refer Kit Equipment Register in kitbag)

  Date

• Are the rope identification tags still attached on the ends of the rope?

  Yes - Both

  Yes - One

  No - Missing

• Add photos of the rope's identification tags (check the ends of the rope)

  Media

Rope Condition

• Free of Cuts?

  Yes

  No

  N/A

• Free of Frays & Abrasions

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Clean & free of dirt, oil, paints, etc?

  Yes

  No

  N/A

• Free of Mold?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

• Free from shock damage? (damage from shock loading, falls, etc)

  Yes

  No

  N/A

• Add photos of any damage on the rope.

  Media

Overall inspection Info:

• IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY.

• Is this rope OK to remain in service?

  Yes

  No

  N/A

• Has the new compliance tag been inscribed with the next inspection date?

  Yes

  No

  N/A

• Add photos of the compliance tag(s) here.

  Media

• Signature of Inspector

  Sign

• Any failed responses should be raised with your Group Leader & an "Out Of Service" tag placed on the rope bag.

Rope Information

• Enter date of Manufacture (refer Kit Equipment Register in kitbag)

  Date

• Is this date within 10 years of today's date?

  Yes

  No

  N/A

• Enter "Date Of In-Service" (refer Kit Equipment Register in kitbag)

  Date

• Are the rope identification tags still attached on the ends of the rope?

  Yes - Both

  Yes - One

  No - Missing

• Add photos of the rope's identification tags (check the ends of the rope)

  Media

Rope Condition

• Free of Cuts?

  Yes

  No

  N/A

• Free of Frays & Abrasions

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Clean & free of dirt, oil, paints, etc?

  Yes

  No

  N/A

• Free of Mold?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

• Free from shock damage? (damage from shock loading, falls, etc)

  Yes

  No

  N/A

• Add photos of any damage on the rope.

  Media

Overall inspection Info:

• IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY.

• Is this rope OK to remain in service?

  Yes

  No

  N/A

• Has the new compliance tag been inscribed with the next inspection date?

  Yes

  No

  N/A

• Add photos of the compliance tag(s) here.

  Media

• Signature of Inspector

  Sign

• Any failed responses should be raised with your Group Leader & an "Out Of Service" tag placed on the rope bag.

Rope Information

• Enter date of Manufacture (refer Kit Equipment Register in kitbag)

  Date

• Is this date within 10 years of today's date?

  Yes

  No

  N/A

• Enter "Date Of In-Service" (refer Kit Equipment Register in kitbag)

  Date

• Are the rope identification tags still attached on the ends of the rope?

  Yes - Both

  Yes - One

  No - Missing

• Add photos of the rope's identification tags (check the ends of the rope)

  Media

Rope Condition

• Free of Cuts?

  Yes

  No

  N/A

• Free of Frays & Abrasions

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Clean & free of dirt, oil, paints, etc?

  Yes

  No

  N/A

• Free of Mold?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

• Free from shock damage? (damage from shock loading, falls, etc)

  Yes

  No

  N/A

• Add photos of any damage on the rope.

  Media

Overall inspection Info:

• IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY.

• Is this rope OK to remain in service?

  Yes

  No

  N/A

• Has the new compliance tag been inscribed with the next inspection date?

  Yes

  No

  N/A

• Add photos of the compliance tag(s) here.

  Media

• Signature of Inspector

  Sign

Harness Info:

• Label Attached to Harness<br>

  Yes

  No

  N/A

• Label Fully Legible

  Yes

  No

  N/A

• HARNESS Date of Manufacture:

• HARNESS Serial #

• HARNESS Lot #

• HARNESS Model #

• Add photo of harness identification tag here

  Media

Hardware:

• Buckles in Place?

  Yes

  No

  N/A

• D Rings in Place?

  Yes

  No

  N/A

• Back Pad in Place?

  Yes

  No

  N/A

• Loop Keepers in Place?

  Yes

  No

  N/A

Hardware Condition:

• Free of Damaged or Worn Parts?

  Yes

  No

  N/A

• Free of Broken or Bent Parts?

  Yes

  No

  N/A

• All Buckle Springs Loose?

  Yes

  No

  N/A

• Free of any Sharp Edges?

  Yes

  No

  N/A

• Free of Burrs?

  Yes

  No

  N/A

• Free of Cracks?

  Yes

  No

  N/A

• Parts free of distortion and elongation?

  Yes

  No

  N/A

• Free Corrosion?

  Yes

  No

  N/A

• Add photos of any hardware issues here.

  Media

Webbing:

• Free of Cuts?

  Yes

  No

  N/A

• Webbing free of Frays?

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Free of Broken Stitches?

  Yes

  No

  N/A

• Free of Tears?

  Yes

  No

  N/A

• Free of Abrasions?

  Yes

  No

  N/A

• Free of Mold?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

• Add photos of any webbing issues here.

  Media

Overall inspection Info:

• IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY.

• Is this harness OK to remain in service?

  Yes

  No

  N/A

• Has the new compliance tag been inscribed with the next inspection date?

  Yes

  No

  N/A

• Add photos of the compliance tag(s) here.

  Media

• Signature of Inspector

  Sign

Harness Info:

• Label Attached to Harness<br>

  Yes

  No

  N/A

• Label Fully Legible

  Yes

  No

  N/A

• HARNESS Date of Manufacture:

• HARNESS Serial #

• HARNESS Lot #

• HARNESS Model #

• Add photo of harness identification tag here

  Media

Hardware:

• Buckles in Place?

  Yes

  No

  N/A

• D Rings in Place?

  Yes

  No

  N/A

• Back Pad in Place?

  Yes

  No

  N/A

• Loop Keepers in Place?

  Yes

  No

  N/A

Hardware Condition:

• Free of Damaged or Worn Parts?

  Yes

  No

  N/A

• Free of Broken or Bent Parts?

  Yes

  No

  N/A

• All Buckle Springs Loose?

  Yes

  No

  N/A

• Free of any Sharp Edges?

  Yes

  No

  N/A

• Free of Burrs?

  Yes

  No

  N/A

• Free of Cracks?

  Yes

  No

  N/A

• Parts free of distortion and elongation?

  Yes

  No

  N/A

• Free Corrosion?

  Yes

  No

  N/A

• Add photos of any hardware issues here.

  Media

Webbing:

• Free of Cuts?

  Yes

  No

  N/A

• Webbing free of Frays?

  Yes

  No

  N/A

• Free of Broken Fibers?

  Yes

  No

  N/A

• Free of Broken Stitches?

  Yes

  No

  N/A

• Free of Tears?

  Yes

  No

  N/A

• Free of Abrasions?

  Yes

  No

  N/A

• Free of Mold?

  Yes

  No

  N/A

• Free of Burns?

  Yes

  No

  N/A

• Add photos of any webbing issues here.

  Media

Overall inspection Info:

• IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY.

• Is this harness OK to remain in service?

  Yes

  No

  N/A

• Has the new compliance tag been inscribed with the next inspection date?

  Yes

  No

  N/A

• Add photos of the compliance tag(s) here.

  Media

• Signature of Inspector

  Sign

Carabiners & Rescue-8's

• Are carabiners free of corrosion & physical damage? (select all that are)

  Select 0 - all failed 1 2 3 4 5 6 7 8

  • 0 - all failed
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Are carabiners free of corrosion & physical damage? (select all that are)

  Select 0 - all failed 1 2 3 4 5 6 7 8

  • 0 - all failed
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Are Rescue 8's free of corrosion & physical damage? (select all that are)

  Select 0 - all failed 1 2

  • 0 - all failed
  • 1
  • 2

• Yes

  No

  N/A

Descender 1 (Kong Backup)

• Free of Damaged or Worn Parts?

  Yes

  No

  N/A

• Free of Broken or Bent Parts?

  Yes

  No

  N/A

• Ribbed friction arm not smooth?

  Yes

  No

  N/A

• Free of any Sharp Edges?

  Yes

  No

  N/A

• Free of Burrs?

  Yes

  No

  N/A

• Free of Cracks?

  Yes

  No

  N/A

• Parts free of distortion and elongation?

  Yes

  No

  N/A

• Free Corrosion?

  Yes

  No

  N/A

• Yes

  No

  N/A

• List parts requiring replacement (if any)

Descender (Kong Backup)

• Free of Damaged or Worn Parts?

  Yes

  No

  N/A

• Free of Broken or Bent Parts?

  Yes

  No

  N/A

• Ribbed friction arm not smooth?

  Yes

  No

  N/A

• Free of any Sharp Edges?

  Yes

  No

  N/A

• Free of Burrs?

  Yes

  No

  N/A

• Free of Cracks?

  Yes

  No

  N/A

• Parts free of distortion and elongation?

  Yes

  No

  N/A

• Free Corrosion?

  Yes

  No

  N/A

• Do any parts require replacement?

  Yes

  No

  N/A

• List parts requiring replacement (if any)

Miscellaneous Components

• Is there AT LEAST 3 rope protectors in the kit?

  Yes

  No

  N/A

• Is there AT LEAST 1 throw bag in the kit?

  Yes

  No

  N/A

• Is the kit clipboard present with safety checklists, kit equipment register, last inspection record, slope gauge & SEM0604 Working Safely At Heights participant guide?

  Yes

  No

  N/A

Hardware Condition:

• Free of physical damage and deformities?

  Yes

  No

  N/A

• Free of corrosion?

  Yes

  No

  N/A

• All markings present and legible?

  Yes

  No

  N/A

• Are locking levers free of damage and operate smoothly?

  Yes

  No

  N/A

Overall inspection Info:

• IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY.

• Is the kit OK to remain in service?

  Yes

  No

  N/A

• Has the new compliance tag been inscribed with the next inspection date?

  Yes

  No

  N/A

• Add photos of the compliance tag(s) here.

  Media

• Signature of Inspector

  Sign

• Are there any other issues with the heights kit that needs to be raised?

• Add photos of any other issues here.

  Media

• Do any items need reordering?

  Yes

  No

  N/A

• List items here that require reordering. Also advise your Groups' Asset Manager.

• Add photos of kit re-tagged here.

  Media

• Sign that this inspection is true, correct & completed to the best of your ability.

  Sign