Honeywell - Miller Product Inspection Guide
Polys De
t
eel Rope Lifeline ti
s - Synthetic
INSPECTION CHECKLIST - FALL PROTECTION EQUIPMENT Inspection Checklist – Fall Protection Equipment t s - Synthetic scrip on: Model #: Polys De eel Rope Lifeline ti Serial # ate of Manufacture: : D Inspect ate Inspected: or: D Inspector Signature: FAIL: ___ ❑ Initial______ ✔ Checklist – Fall Protection Equipment s - Synthetic Model #: ope Lifeline Date of Manufacture: Date Inspected: gnature: ___ PASS: ❑ Initial_________ nitial______ ✔ ection Checklist – Fall Protection Equipment t s - Synthetic ip on: Model #: s eel Rope Lifeline ti # ate of Manufacture: : D ct ate Inspected: or: D ctor Signature: L: ___ PASS: ❑ Initial_________ OV ICE ❑ Initial______ ✔ E FROM SERV RETURN TO SERVICE scrip on: Serial # : Inspect or: Inspector Signature: FAIL: ___ EMOV ICE ❑ Initial______ R E FROM SERV Checklist – Fall Protection Equipment s - Synthetic Model #: ope Lifeline Date of Manufacture: Date Inspected: gnature: ___ PASS: ❑ Initial_________ ICE nitial______ ✔ ROM SERV RETURN TO SERVICE ection Checklist – Fall Protection Equipment t s - Synthetic ip on: Model #: s eel Rope Lifeline ti # ate of Manufacture: : D ct ate Inspected: or: D ctor Signature: L: ___ PASS: ❑ Initial_________ OV ICE ❑ Initial______ ✔ E FROM SERV RETURN TO SERVICE 8 FAIL: o Initial_________ REMOVE FROM SERVICE EMOV 4 PASS: o Initial_________ RETURN TO SERVICE Description: Model #: Serial #: Date of Manufacture: Inspector: Date Inspected: Inspector Signature: ICE R E FROM SERV
Model
D D
ate o ate In
PAS
✔
RETUR
PASS: ❑ Initial________
RETURN TO SERVICE
ROM SERV
RETURN TO SERVICE
ICE
IT #
EM DESCRIPTION –
FAIL
PASS ✔
Pass 4 Rope Fibers Rope Splices Thimbles & Eyes Rope Diameter Labeling (tags) Rope Hockling SNAPHOOK Hook Body Hook Nose Gate (keeper) Lock Eye Hinge Spring (inside gate) COMMENTS Comments FAIL PASS ✔ COMMENTS
IT #
Description EM DESCRIPTION – Fail 8
COMMENTS
Item #
DESCRIPTION – DESCRIPTION –
Rope Fibers Rope Splices Thimbles and Eyes Rope Fibers Rope Splices Thimbles & Eyes Rope Diameter Labeling (tags) Rope Hockling SNAPHOOK Hook Body Hook Nose Gate (keeper) Lock Eye Hinge FAIL PASS ✔ FAIL FAIL PASS ✔ FAIL Rope Diameter Labeling (tags) Rope Hockling SNAPHOOK Hook Body Hook Nose Gate (keeper) Lock Eye Hinge Spring (inside gate)
PASS ✔ PASS ✔
Product Inspection Guide Hook Body Hook Nose Gate (keeper) Lock Eye Body Nose (keeper) Rope Diameter Labeling (tags) Rope Hockling SNAPHOOK Hook Body Hook Nose Gate (keeper) Lock Eye RIPTION – Rope Fibers Rope Splices Thimbles & Eyes Rope Diameter Labeling (tags) Rope Hockling SNAPHOOK Fibers Splices bles & Eyes Diameter ling (tags) Hockling PHOOK Rope Fibers Rope Splices Thimbles & Eyes Fibers Splices bles & Eyes Diameter ling (tags) Hockling PHOOK Body Nose RIPTION –
COMMENTS COMMENTS
39
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