Title Page
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Description of equipment
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Describe
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Identification number
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Organisation for which examination was carried out
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Organisation
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Location of examination
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Date of inspection
Lifting equipment/Accessory/Harness/Harness accessory
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SWL
- 0.5 ton
- 0.6 ton
- 0.8 ton
- 1 ton
- 2 ton
- 3 ton
- 4 ton
- 5 ton
- 6 ton
- 10 ton
- other
- N/A
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SWL
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LENGTH(if applicable)
- 0.5 m
- 1m
- 1.5m
- 2m
- 2.5m
- 3m
- 3.5m
- 4m
- 4.5m
- 5m
- 5.5m
- 6m
- N/A
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PHOTO OF EQUIPMENT
inspection results/Status/Comments/Recommendations
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Is the equipment /accessory safe to operate/use
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Reason for fail/comments
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photographic evidence of defect
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Action/instruction/Recommendations
- DO NOT USE/QUARANTINE/REMOVE FROM SERVICE/DESTROY
- DO NOT USE/QUARANTINE/REPAIR/RE-INSPECT
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Next thorough examination date
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Colour Tag Applied
- Red
- Yellow
- Green
- Blue
- Label
- No tag/label applied
Sign off
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Inspected by
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Photo of training card