Serial Number(s):
Model Number:
Inspected By:
Component:
Inspection:
Hooks
Inspect Snap Hooks, Carabiner, Rebar Hooks, etc. for signs of damage, corrosion, and proper working
(Figure 16)
condition. Where present: Swivels (A) should rotate freely, and Carabiner and Hook Gates (B) should
open, close, lock, and unlock properly. Inspect Rope Grabs (C) per the instructions included with the
Rope Grab or Vertical Lifeline.
Web Lanyards
Inspect webbing; material must be free of cuts (A), frays (B), or broken fibers. Check for tears,
Webbing and Stitching
abrasions, heavy soiling (C), mold, burns (D), or discoloration. Inspect stitching; Check for pulled or
(Figure 17
cut stitches. Broken stitches may be an indication that the harness has been impact loaded and must
be removed from service.
Cable Lanyards
Inspect wire rope for cuts, kinks (A), broken wires (B), bird-caging (C), welding splatter, (D)
Wire Rope
corrosion, chemical contact areas, or severely abraded areas. Slide the cable bumper up and inspect
(Figure 18)
ferrules for cracks or damage and inspect the wire rope for corrosion and broken wires. Replace the
wire rope assembly if there are six or more randomly distributed broken wires in one lay, or three or
more broken wires in one strand in one lay. A "lay" of wire rope is the length of wire rope it takes for
a strand (the larger groups of wires) to complete one revolution or twist along the rope. Replace the
wire rope assembly if there are any broken wires within 1 inch (25 mm) of the ferrules.
Energy Absorber
Verify that the integral Energy Absorber has not been activated. An open cover (A) or torn cover (B),
(Figure 20)
webbing pulled out of the cover (C), torn or frayed webbing (D), and ripped or missing stitching (E).
are indicators of an activated Energy Absorber.
Tubular Web
Inspect Tubular Web Lanyards for impact indication. If the webbing is torn, revealing the Impact
Impact Indicator Label
Indicator Label, the Lanyard has experienced impact loading and must be removed from service and
(Figure 19)
destroyed.
Labels (Figure 21)
All labels should be present and fully legible.
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Table 2 – Inspection & Maintenance Log
21
Date Purchased:
Date of First Use:
Inspection Date:
Before
Each Use
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Competent
Person