🔗 Lanyard and SRL Inspection

Monthly Fall Protection Equipment Inspection

⚠️ OSHA 29 CFR 1926.502 & ANSI Z359.1/Z359.14 Compliant | Monthly Inspection Required

📋 Equipment & Inspector Information

Inspector Name *

Inspection Date *

Company *

Location *

Equipment ID / Serial Number *

Assigned User

Equipment Type *

Manufacturer *

Model

Manufacture Date

Length

Capacity / Working Load Limit

Connector Type

🏷️ Labels & Identification

Labels Legible & Intact

🧵 Webbing / Cable Condition

🚨 CRITICAL: Any cuts, frays, burns, or chemical damage to webbing/cable requires immediate removal from service.

No Cuts / Tears

No Frays / Broken Fibers

No Burns / Heat Damage

No Chemical Damage / Discoloration

No Corrosion (Cable)

No Kinks / Bird Caging (Cable)

Stitching Intact (All Areas)

🔗 Connectors (Snap Hooks / Carabiners)

Snap Hooks Function Properly

Snap Hook Gates Close & Lock

No Corrosion / Pitting

Carabiner Functions Properly

Carabiner Locking Mechanism Works

Thimbles/Terminations Secure

⚠️ Fall Indicators & History

🚨 CRITICAL: Any equipment that has been subjected to fall arrest forces MUST be immediately removed from service - even if no visible damage is present.

Fall Indicator Status (If Equipped)

No Previous Fall Exposure

✅ Overall Condition & Inspection Result

Overall Equipment Condition *

Inspection Result *

✅ Pass❌ Fail - Remove from Service

Next Inspection Due

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