Title Page

  • Inspector

  • Conducted on

  • Location

Fall Protection Equipment Inspection

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  • INSTRUCTIONS:
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    1. Start by selecting the item(s) for inspection.
    2. Answer "Accepted" or "Rejected" for the questions below.
    3. Fill out required fields and answer other questions as needed.
    4. Add photos and notes/comments by clicking on the paperclip icon.
    5. Complete audit by providing a digital signature.
    6. Share your report by exporting as PDF, Word, Excel or Web Link.

  • Select item(s) for inspection

Harness

  • Model:

  • Serial Number:

  • 2.) WEBBING: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration.

  • 3.) STITCHING: Inspect for pulled or cut stitches.

  • 4.) LABELS: Inspect. Make certain all labels are securely held in place and legible.

Hooks/Carabiners

  • Model(s)

  • 1.) PHYSICAL DAMAGE: Inspect for cracks, sharp edges, burrs, deformities and locking operation.

  • 2.) EXCESSIVE CORROSION: Inspect for corrosion which affects operation and/or strength.

  • 3.) MARKING: Inspect, make sure certain markings are legible.

Tie-Off Adaptors/Strap

  • Model(s)

  • Serial Number(s)

  • 1.) HARDWARE: (Includes D-rings) Inspect for damage, distortion, sharp edges, burrs, cracks and corrosion.

  • 2.) WEBBING: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration.

  • 3.) STITCHING: Inspect for pulled or cut stitches.

  • 4.) LABELS: Make certain all labels are securely held in place and legible.

Self-Retracting Lifelines

  • Model

  • Serial Number

  • 1.) IMPACT INDICATOR: Inspect for activation (rupture of red stitching, elongated indicator, etc.

  • 2.) SCREWS/FASTENERS: Inspect for damage and make certain all screws and fasteners are tight.

  • 3.) HOUSING: Inspect for distortion, cracks and other damage. Inspect anchoring loop for distortion and damage.

  • 4.) LIFELINE: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling, discoloration and broken wires.

  • 5.) LOCKING ACTION: Inspect for proper lock-up of brake mechanism.

  • 6.) RETRACTION/EXTENSION: Inspect spring tension by pulling lifeline out fully and allowing it to retract fully (no slack).

  • 7.) HOOKS/CARABINERS: Inspect for physical damage, corrosion, proper orientation and markings.

  • 8.) RESERVE LIFELINE: Inspect reserve lifeline retention systems for deployment.

  • 9.) LABELS: Make certain all labels are securely held in place and legible.

COMPLETION

  • Truck Number

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.