Fall Protection Equipment Use Form

Harness

• Hardware: (Includes D-rings, buckles, keepers and back pads). Inspect for damage, distortion, sharp edges, burrs, cracks, and corrosion.

• Webbing: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration

• Stitching: Inspect for pulled or cut stitches

• Labels: Inspect, make certain all labels are securely held in place and legible

Lanyards

• Hardware: (Includes snap hooks, carabiners, adjusters, keepers, thimbles and D-rings). Inspect for damage, distortion, sharp edges, burrs, cracks, corrosion and proper operation

• Webbing: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration

• Stitching: Inspect for pulled or cut stitches

• Synthetic Rope: Inspect for pulled or cut yarns, burns, abrasion, knots, excessive soiling and discoloration

• Wire Rope: Inspect for broken wires, corrosion, kinks and separation of strands

• Energy Absorbing Component: Inspect for elongation, tears and excessive soiling

• Labels: Inspect, make certain all labels are securely held in place and legible.

Tie-Off Adaptors

• Hardware: (Includes D-rings). Inspect for damage, distortion, sharp edges, burrs, cracks, and corrosion

• Webbing: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration

• Stitching: Inspect for pulled or cut stitches

• Labels: Inspect, make certain all labels are securely held in place and legible.

Rope Grabs / Carabiner

• Hardware: Inspect action of locking roller

• Lanyard Connection: Inspect handle for freedom of motion, also lever must push the roller into the rope

• Handle Spring: Inspect correct place and undamaged

• Detent Pin: The top button should spring back up when pushed down. Pin should easily slide through the rope grab body and hinge

• Grab Hinge: Must pivot freely and close completely. Check that the gravity lock on the hinge works freely. Inspect for signs for rope wear. No dips or depressions worn into rope channel

• Labels: Inspect, make certain all labels are securely held in place and legible

Self-Retracting Lifelines (SRL)

• Impact Indicator: Inspect indicator for activation (rupture of red stitching, elongated indicator, etc.)

• Screws/Fasteners: Inspect for damage and make certain all screws and fasteners are tight

• Housing: Inspect for distortion, cracks and other damage. Inspect anchoring loop for distortion and damage

• Lifeline: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration, broken wires (see impact indicator section)

• Locking Action: Inspect for proper lock-up of brake mechanism

• Retraction/Extension: Inspect spring tension by pulling lifeline out fully and allowing it to retract fully (no slack)

• Hooks/Carabiners: Inspect for physical damage, corrosion, proper operation and markings

• Reserve Lifeline: Inspect reserve lifeline retention systems for deployment

• Labels: Inspect, make certain all labels are securely held in place and legible

Lifelines

• Hardware: (Includes snap hooks, carabiners, adjusters, keepers, thimbles, etc). Inspect for damage, distortion, sharp edges, burrs, cracks, corrosion and proper operation

• Synthetic Rope: Inspect for pulled or cut yarns, burns, abrasion, knots, excessive soiling and discoloration

• Wire Rope: Inspect for broken wires, corrosion, kinks and separation of strands

• Labels: Inspect, make certain all labels are securely held in place and legible