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INSPECTION CHECKLIST / FULL BODY HARNESS
PASS
www.falltech.com
Model: Date of Manufacture:
Serial Number: Lot Number: Date of Purchase:
Comments:
GENERAL FACTORS PASS/ FAIL NOTES
FAIL
HARDWARE: INCLUDING - • D-rings • Buckles • Keepers • Back padsInspect for damage, distortion, sharp edges, burrs, cracks and corrosion
PASS
FAIL
WEBBING:Look for cuts, burns, tears, abrasion,
frays, excessive soiling and discoloration
PASS INSPECTED BY:OVERALL
DISPOSITIONFAIL DATE INSPECTED:
PASS
FAIL
LABELS:Ensure all labels are securely held in place
and legible.
PASS
FAIL
STITCHING:Look for pulled or cut stitches
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
PASS
FAIL
IMPACT INDICATOR:Inspect indicator for activation.
INSPECTION CHECKLIST / LANYARDS
PASS
www.falltech.com
Model: Date of Manufacture:
Serial Number: Lot Number: Date of Purchase:
Comments:
GENERAL FACTORS PASS/ FAIL NOTES
FAIL
HARDWARE: INCLUDING -
• Snap hooks
• Carabiners
• Keepers
• Adjusters
Inspect for damage, distortion, sharp
edges, burrs, cracks and corrosion
• Thimbles
• D-rings
PASS
FAIL
WEBBING:Look for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration
PASS
FAIL
CABLE:Inspect for broken wires, corrosion, kinks and separation of strands.
PASS
PASS INSPECTED BY:OVERALL
DISPOSITION FAIL DATE INSPECTED:
FAIL
PASS
FAIL
ENERGY ABSORBER:Inspect for elongation, tears andexcessive soiling
STITCHING:Look for pulled or cut stitches
PASS
FAIL
ROPE:Inspect for pulled or cut yarns, burns, abrasion, knots, soiling and discoloration
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
PASS
FAIL
PASS
FAIL
LABELS:Ensure all labels are securely held in place and legible.
IMPACT INDICATOR:Inspect indicator for activation.
INSPECTION CHECKLIST / SELF-RETRACTING LIFELINES
www.falltech.com
Model: Date of Manufacture:
Serial Number: Lot Number: Date of Purchase:
Comments:
GENERAL FACTORS PASS/ FAIL NOTES
PASS
FAIL
HOUSING:Inspect for distortion, cracks, corrosion and other damage.
PASS
FAIL
RECTRACTION / EXTENSION:Check tension by pulling lifeline out fully and allowing it to retract fullly (no slack).
PASS
PASS INSPECTED BY:OVERALL
DISPOSITION FAIL DATE INSPECTED:
FAIL
PASS
FAIL
SCREWS / FASTENERS:Inspect for damage and ensure all screws and fasteners are tight.
PASS
FAIL
IMPACT INDICATOR:Inspect indicator for activation.
PASS
FAIL
HOOKS / CARABINER:Look for physical damage, corrosion, proper operation and markings.
LIFELINE:Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration, broken wires.
PASS
FAIL
LOCKING ACTION:Inspect for proper lock-up ofbrake mechanism
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
PASS
FAIL
LABELS:Ensure all labels are securely held in place and legible.
INSPECTION RECORD
www.falltech.com
Model:
Serial Number:
INSPECTIONDATE PASS/ FAILCOMMENTSINSPECTOR APPROVED BYCORRECTIVE ACTION NEEDED
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
Date of Manufacture:
