SCCI Annual Kit Inspection

• Site conducted

  Select

• ANNUAL KIT INSPECTION FOR;

• Document No.

• Conducted on

  Date

• Prepared by

• Select date

  Date

HARNESS

• ID label present and legible

  Yes

  No

  N/A

• SERIAL NUMBER

• Date of manufacture

  Date

• Webbing<br>Inspect the entire length of all the webbing looking for frayed edges, broken fibers, pulled stitches, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any webbing that has been marked with a felt pen, excessive hardness or brittleness or the Harness Fall Indicator deployment.

  Safe

  At Risk

  N/A

• Stitching <br>Check all stitching for ripped or pulled stitches and to make sure the webbing joints are not loose. Also look for missing stitching, hard or shiny spots, or discoloration of stitching.

  Safe

  At Risk

  N/A

• D-rings<br>Check D-rings for rust or corrosion, distortion, cracks, breaks, and rough or sharp edges. D-rings should pivot freely.

  Safe

  At Risk

  N/A

• Buckles<br>note any unusual wear, damage or distortion. On tongue buckles check that the roller and tongue move freely and that the tongue overlaps the buckle frame. Check the outer and center bars on friction and mating buckles for distortion. On quick release types check for broken plastic and that they will not release when one release is opened. Mating buckles should nest together.

  Safe

  At Risk

  N/A

• Expiry Date

  Date

• Harness is approved for use at time of inspection.

  Yes

  No

  N/A

COWSTAIL

• Is ID label present & legible

  Yes

  No

  N/A

• SERIAL NUMBER

• Manufacture Date

  Date

• Webbing<br>Inspect the entire length of all the webbing looking for frayed edges, broken fibers, pulled stitches, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any webbing that has been marked with a felt pen, excessive hardness or brittleness or the Harness Fall Indicator deployment.

  Yes

  No

  N/A

• Metal components free from damage or deformity.

  Yes

  No

  N/A

• Karabiner mechanisms intact and in good working order.

  Yes

  No

  N/A

• Expiry Date

  Date

• Cowstail is approved for use at time of inspection.

  Yes

  No

  N/A

8 METRE ROPE

• Is ID label present & legible

  Yes

  No

  N/A

• SERIAL NUMBER

• Manufacture Date

  Date

• Rope<br>Inspect the entire length of all the rope looking for frayed edges, broken fibres, pulled stitches, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any rope that has been marked with a felt pen, excessive hardness

  Yes

  No

  N/A

• Connecting device;<br>Ensure manucroche is free from damage or deformity and that it opens and closes freely.

  Yes

  No

  N/A

• Expiry Date

  Date

• Rope is approved for use at time of inspection.

  Yes

  No

  N/A

10 METRE ROPE

• Is ID label present & legible

  Yes

  No

  N/A

• SERIAL NUMBER

• Manufacture Date

  Date

• Rope<br>Inspect the entire length of all the rope looking for frayed edges, broken fibres, pulled stitches, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any rope that has been marked with a felt pen, excessive hardness

  Yes

  No

  N/A

• Connecting device;<br>Ensure manucroche is free from damage or deformity and that it opens and closes freely.

  Yes

  No

  N/A

• Expiry Date

  Date

• Rope is approved for use at time of inspection.

  Yes

  No

  N/A

ADDITIONAL ROPE

• Is ID label present & legible

  Yes

  No

  N/A

• SERIAL NUMBER

• Manufacture Date

  Date

• Rope<br>Inspect the entire length of all the rope looking for frayed edges, broken fibres, pulled stitches, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any rope that has been marked with a felt pen, excessive hardness

  Yes

  No

  N/A

• Connecting device;<br>Ensure manucroche is free from damage or deformity and that it opens and closes freely.

  Yes

  No

  N/A

• Expiry Date

  Date

• Rope is approved for use at time of inspection.

  Yes

  No

  N/A

ROPE GRAB/SKR DEVICE

• SERIAL NUMBER

• Metal components free from damage or deformity.

  Yes

  No

  N/A

• Mechanism in working order

  Yes

  No

  N/A

• Rope Grab is approved for use at time of inspection.

  Yes

  No

  N/A

LANYARD

• Is ID label present & legible

  Yes

  No

  N/A

• SERIAL NUMBER

• Manufacture Date

  Date

• Rope/Webbing<br>Inspect the entire length of all the rope/webbing looking for frayed edges, broken fibres, pulled stitches, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any rope/webbing that has been marked with a felt pen, excessive hardness.

  Yes

  No

  N/A

• Metal components free from damage, deformity or excessive wear

  Yes

  No

  N/A

• Karabiner mechanisms intact and in good working order.

  Yes

  No

  N/A

• Expiry Date

  Date

• Lanyard is approved for use at time of inspection.

  Yes

  No

  N/A

CHIMNEY STROP

• Is ID label present & legible

  Yes

  No

  N/A

• SERIAL NUMBER

• Manufacture Date

  Date

• Rope<br>Inspect the entire length of all the rope looking for frayed edges, broken fibres, pulled stitches, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any rope that has been marked with a felt pen, excessive hardness

  Yes

  No

  N/A

• Rope connecting device is free from damage, deformity or excessive wear .

  Yes

  No

  N/A

• Mechanism intact and in good working order.

  Yes

  No

  N/A

• Expiry Date

  Date

• Chimney Strop is approved for use at time of inspection.

  Yes

  No

  N/A

EYEBOLTS

• Eyebolts present and in acceptable condition

  Yes

  No

  N/A

KARABINERS

• Karabiners free from damage, deformity or excessive wear

  Yes

  No

  N/A

• Mechanisms intact and in good working order.

  Yes

  No

  N/A

RATCHET STRAPS

• Webbing in acceptable condition, fibres, stitching and integrity

  Yes

  No

  N/A

• Ratchet device free from damage, deformity or excessive wear

  Yes

  No

  N/A

Extension Ladder

• Ladder ID number

• Ladder description

• Ladder stiles in an acceptable condition

  Yes

  No

  N/A

• Ladder Rungs in an acceptable condition

  Yes

  No

  N/A

• Ladder feet present and in good condition

  Yes

  No

  N/A

• Ladder hooks and fittings in good condition

  Yes

  No

  N/A

• Ladder is approved for use at time of inspection.

  Yes

  No

  N/A

Extension Ladder

• Ladder ID number

• Ladder description

• Ladder stiles in an acceptable condition

  Yes

  No

  N/A

• Ladder Rungs in an acceptable condition

  Yes

  No

  N/A

• Ladder feet present and in good condition

  Yes

  No

  N/A

• Ladder hooks and fittings in good condition

  Yes

  No

  N/A

• Ladder is approved for use at time of inspection.

  Yes

  No

  N/A

ROOF LADDER

• Ladder ID number

• Ladder Description

• Ladder stiles in an acceptable condition

  Yes

  No

  N/A

• Ladder Rungs in an acceptable condition

  Yes

  No

  N/A

• Ladder feet present and in good condition

  Yes

  No

  N/A

• Ridge hook and wheels in good condition

  Yes

  No

  N/A

• Ladder hooks and fittings in good condition

  Yes

  No

  N/A

• Ladder is approved for use at time of inspection.

  Yes

  No

  N/A

STEPLADDER

• Ladder ID number

• Ladder description

• Ladder stiles in an acceptable condition

  Yes

  No

  N/A

• Ladder steps in an acceptable condition

  Yes

  No

  N/A

• Ladder feet present and in good condition

  Yes

  No

  N/A

• Locking bars present and in working order

  Yes

  No

  N/A

• Hooks & fittings in good condition

  Yes

  No

  N/A

• Ladder is approved for use at time of inspection.

  Yes

  No

  N/A

STEPLADDER

• Ladder ID number

• Ladder description

• Ladder stiles in an acceptable condition

  Yes

  No

  N/A

• Ladder steps in an acceptable condition

  Yes

  No

  N/A

• Ladder feet present and in good condition

  Yes

  No

  N/A

• Locking bars present and in working order

  Yes

  No

  N/A

• Hooks & fittings in good condition

  Yes

  No

  N/A

• Ladder is approved for use at time of inspection.

  Yes

  No

  N/A

INSPECTED BY :

• undefined

• Add signature

  Sign

• Next inspection due;

  Date