Title Page

  • Description of equipment

  • Describe

  • Identification number

  • Organisation for which examination was carried out

  • Organisation

  • Location of examination
  • Date of inspection

Lifting equipment/Accessory/Harness/Harness accessory

  • SWL

  • SWL

  • LENGTH(if applicable)

  • PHOTO OF EQUIPMENT

inspection results/Status/Comments/Recommendations

  • Is the equipment /accessory safe to operate/use

  • Reason for fail/comments

  • photographic evidence of defect

  • Action/instruction/Recommendations

  • Next thorough examination date

  • Colour Tag Applied

Sign off

  • Inspected by

  • Photo of training card

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.