Title Page
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Site conducted
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Conducted on
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Prepared by
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Frequency
- Full Body Harness
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Make
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Model
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SN
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Hardware: (Includes D-rings, buckles,<br>keepers, and back pads) Inspect for damage,<br>distortion, sharp edges, burrs, cracks<br>and corrosion.
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Webbing: Inspect for cuts, burns, tears,<br>abrasion, frays, excessive soiling and discoloration.
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Stitching: Inspect for pulled or cut<br>stitches.
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Labels: Inspect, make certain all labels are<br>securely held in place and legible.
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Other
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Overall Disposition
Lanyards
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Make
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Model
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SN
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Hardware: (Includes D-rings, buckles,<br>keepers, and back pads) Inspect for damage,<br>distortion, sharp edges, burrs, cracks<br>and corrosion.
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Webbing: Inspect for cuts, burns, tears,<br>abrasion, frays, excessive soiling and discoloration.
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Stitching: Inspect for pulled or cut<br>stitches.
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Synthetic Rope: Inspect for pulled or cut<br>yarns, burns, abrasion, knots, excessive<br>soiling and discoloration.
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Wire Rope: Inspect for broken wires,<br>corrosion, kinks and separation of strands.
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Energy Absorbing Component: Inspect<br>for elongation, tears and excessive soiling.
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Labels: Inspect, make certain all labels are<br>securely held in place and legible.
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Other
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Overall Disposition
Tie-Off Adaptors
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Make
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Model
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SN
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Hardware: (Includes D-rings, buckles,<br>keepers, and back pads) Inspect for damage,<br>distortion, sharp edges, burrs, cracks<br>and corrosion.
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Webbing: Inspect for cuts, burns, tears,<br>abrasion, frays, excessive soiling and discoloration.
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Stitching: Inspect for pulled or cut<br>stitches.
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Labels: Inspect, make certain all labels are<br>securely held in place and legible.
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Other
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Overall Disposition
Hooks/Carabiners
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Make
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Model
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SN
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Physical Damage: Inspect for cracks,<br>sharp edges, burrs, deformities and locking<br>operation.
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Excessive Corrosion: Inspect for<br>corrosion which effects the operation<br>and/or strength.
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Markings: Inspect, make sure certain<br>marking(s) are legible.
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Other
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Overall Disposition
Anchorage Plates
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Make
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Model
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SN
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Physical Damage: Inspect for cracks,<br>sharp edges, burrs, deformities and locking<br>operation.
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Excessive Corrosion: Inspect for<br>corrosion which effects the operation<br>and/or strength.
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Fasteners: Inspect for corrosion, tightness,<br>damage and distortion. If welded, inspect<br>weld for corrosion, cracks and damage.
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Markings: Inspect, make sure certain<br>marking(s) are legible.
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Other
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Overall Disposition
Self Retracting Lifelines
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Make
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Model
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SN
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Impact Indicator: Inspect indicator for<br>activation (rupture of red stitching, elongated<br>indicator, etc.)
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Screws/Fasteners: Inspect for damage<br>and make certain all screws and fasteners<br>are tight.
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Housing: Inspect for distortion, cracks and<br>other damage. Inspect anchoring loop for<br>distortion and damage.
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Lifeline: Inspect for cuts, burns, tears,<br>abrasion, frays, excessive soiling and<br>discoloration, broken wires (see impact<br>indicator section).
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Locking Action: Inspect for proper lockup<br>of brake mechanism.
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Retraction/Extension: Inspect spring<br>tension by pulling lifeline out fully and<br>allowing it to retract fully (no slack).
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Hooks/Carabiners: Inspect for physical<br>damage, corrosion, proper operation and<br>markings (see separate checklist/log for<br>hooks and carabiners).
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Reserve Lifeline: Inspect reserve lifeline<br>retention systems for deployment.
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Labels: Inspect, make certain all labels are<br>securely held in place and legible.
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Other
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Overall Disposition
Horizontal Lifelines
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Dorm or Area
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Physical Damage: Inspect for cracks, frays<br>sharp edges, burrs
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Excessive Corrosion: Inspect for<br>corrosion which effects the operation<br>and/or strength.
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Fasteners: Inspect for corrosion, tightness,<br>damage and distortion.
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Other
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Overall Disposition
