Shock Absorbing Lanyard Inspection Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Inspected By

  Select Aaron Sherfield Marcus Bryant Ray Knapp Bill Tarasi Melvin Harris Eric Hargreaves Adan Molina Travis Ferguson Jeremy Yager Other

  • Aaron Sherfield
  • Marcus Bryant
  • Ray Knapp
  • Bill Tarasi
  • Melvin Harris
  • Eric Hargreaves
  • Adan Molina
  • Travis Ferguson
  • Jeremy Yager
  • Other

• Condition

  New

  Used

• Manufacturer

  Select Miller DBI Fall Tech Guardian MSA 3M Other

  • Miller
  • DBI
  • Fall Tech
  • Guardian
  • MSA
  • 3M
  • Other

• Model

• Serial #

• MCC Unit Number

Webbing

• Cuts, nicks or tears

  Safe

  At Risk

  N/A

• Broken fibers

  Safe

  At Risk

  N/A

• Overall deterioration

  Safe

  At Risk

  N/A

• Modification by user

  Safe

  At Risk

  N/A

• Fraying/Abrasions

  Safe

  At Risk

  N/A

• Discoloration of material

  Safe

  At Risk

  N/A

• Hard or shiny spots

  Safe

  At Risk

  N/A

• Webbing thickness uneven

  Safe

  At Risk

  N/A

• Mildew

  Safe

  At Risk

  N/A

• Missing straps

  Safe

  At Risk

  N/A

• Undue stretching

  Safe

  At Risk

  N/A

• Burnt, charred or melted fibers

  Safe

  At Risk

  N/A

• Material marker with a permanent marker

  Safe

  At Risk

  N/A

• Excessive hardness or brittleness

  Safe

  At Risk

  N/A

Stitching

• Pulled stitches

  Safe

  At Risk

  N/A

• Stitching that is missing

  Safe

  At Risk

  N/A

• Hard or shiny spots

  Safe

  At Risk

  N/A

• Cut stitches

  Safe

  At Risk

  N/A

• Discoloration of stitching

  Safe

  At Risk

  N/A

Snap Hooks

• Distortion (twist/bends)

  Safe

  At Risk

  N/A

• Rust or corrosion

  Safe

  At Risk

  N/A

• Modifications by users

  Safe

  At Risk

  N/A

• Rough or sharp edges

  Safe

  At Risk

  N/A

• Latch/keeper seated in nose properly without binding

  Safe

  At Risk

  N/A

• Latch/ keeper is not distorted or obstructed

  Safe

  At Risk

  N/A

• Overall deterioration/excessive wear

  Safe

  At Risk

  N/A

• No cracks

  Safe

  At Risk

  N/A

• No missing parts

  Safe

  At Risk

  N/A

• Locking mechanism working properly

  Safe

  At Risk

  N/A

• Snap Hook keeper mechanism is working properly

  Safe

  At Risk

  N/A

Tagging System

• Is tag present and legible

  Safe

  At Risk

  N/A