Tetra Working at Height Equipment inspection: Engineer (Blank)

• Site conducted
  Address

• Person carrying out the Inspection:

  Vinnie Stokes

  Ben Grove

• Time & Date

  Date

• Engineer kit:

• Harness: ID Number:

• Visual inspection of the webbing and stitching.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Metal Fittings & Fastenings.

  PASS

  Fail

• Fall Indicator intake, Please take a photo.

  YES

  NO

  N/A

• His harness safe to use? If not please replace.

  YES

  NO

  N/A

• Comments:

• Rope 1: ID Number:

• General Appearance Rope.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Scaffold Hook and hand Mechanism.

  PASS

  Fail

• Comments:

• Rope 2: ID Number:

• General Appearance Rope.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Scaffold Hook and hand Mechanism.

  PASS

  Fail

• Comments:

• Rope Grab: ID Number:

• General Appearance.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Rope retention Clip and Eyelet.

  Good

  Poor

• Cow's Tail: ID Number:

• General Appearance.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Scaffold Hook and hand Mechanism.

  PASS

  Fail

• Visual inspection of the webbing and stitching.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Karabiner, Operation, Mechanical damage, latch.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Comments:

• Double Cows Tail: ID Number:

• General Appearance.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Scaffold Hook 1 and hand Mechanism.

  PASS

  Fail

• Scaffold Hook 2 and hand Mechanism.

  PASS

  Fail

• Visual inspection of the webbing and stitching.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Karabiner, Operation, Mechanical damage, latch.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Comments:

• Ladder York: ID Number:

• General Appearance.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Visual inspection of the webbing and stitching.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Metal Fittings & Fastenings.

  PASS

  Fail

• Comments:

• Ladder restraint 3 metre: ID Number: 20-457146

• Visual inspection of the webbing and stitching.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Metal Fittings & Fastenings.

  PASS

  Fail

• Comments:

• Ladder restraint 6 metre (1) ID Number:

• Visual inspection of the webbing and stitching.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Metal Fittings & Fastenings.

  PASS

  Fail

• Comments:

• Ladder restraint 6 metre (2) ID Number: 21-678673

• Visual inspection of the webbing and stitching.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Metal Fittings & Fastenings.

  PASS

  Fail

• Comments:

• Roof ladder Restraint: ID Number: (Short Ratchet)

• Visual inspection of the webbing and stitching.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Metal Fittings & Fastenings.

  PASS

  Fail

• Comments:

• Eye Bolts: x 1

• General Appearance.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Rubber Sleeve Appearance.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Drill Bandolier:

• General Appearance.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

• Visual inspection of the webbing and stitching.

  Good

  Poor

  Signs of Ware

  Excessive Abrasion

  Remove from Service

Inspector Signature: Harness as passed inspection

• Inspectors Signature:

  Sign

• Technicians Signature:

  Sign

• Comments from inspector

• Please take photos of any damage or defects.

  Media