Honeywell - Miller Product Inspection Guide

Wire Wire

R scrip R scrip

ope tion: ope tion:

De De

Mo Mo

del #: del #:

Inspection Checklist – Fall Protection Equipment R scrip del #: Wire De ate Inspected: ate of Manufacture ate Inspected: ate of Manufacture

INSPECTION CHECKLIST - FALL PROTECTION EQUIPMENT Inspection Checklist – Fall Protection Equipment R scrip del #: Wire De ope tion: Mo ope tion: Mo Serial # : D Inspect or: D Inspector Signature:  FAIL: ❑ Initial_________ Serial # : D Inspect or: D Inspector Signature:  FAIL: ❑ Initial_________ REMOVE FROM SERVICE Serial # : D Inspect or: D Inspector Signature:  FAIL: ❑ Initial_________ REMOVE FROM SERVICE Description: Model #: Serial #:

ate of Manufacture: ate Inspected: ✔ PASS: RETURN TO ✔ PASS: RETURN TO

❑ Initial______ SERVI SERVI ❑ Initial__ ❑ Initial__

8 FAIL: o Initial_________ REMOVE FROM SERVICE – Fall Protection Equipment Model #: Date of Manufacture: Date Inspected: ion Equipment Model #: Date of Manufacture: Date Inspected: ❑ Initial_________ SERVICE ✔ PASS: RETURN TO Inspector: Inspector Signature: Serial # : Inspect or:

✔ PASS: RETURN TO

Date of Manufacture: ate of Manufacture: D ate Inspected: D Date Inspected:

REMOVE FROM SERVICE

SERVICE

Inspector Signature:  FAIL: ❑ Initial_________ REMOVE FROM SERVICE

❑ Initial_________

✔ PASS: RETURN TO

SERVICE

4 PASS: o Initial_________

RETURN TO SERVICE

❑ Initial_________

___ CE

✔ PASS: RETURN TO

SERVICE

Fail 8 EM RIPTION – OPE IT # DESC WIRE R WIRE R EM RIPTION – OPE IT # DESC WIRE R Pass 4 OPE IT #

AIL ASS OMMENTS C AIL ASS OMMENTS C AIL ASS OMMENTS C

F  F 

P ✔ P ✔

F 

P ✔

Item #

Description WIRE ROPE

Comments

Broken Wires Rust/Corrosion/Pitting

F  Broken Wires Rust/Corrosion/Pitting Deformations Heat Damage Fittings/Thimbles Splices Labeling (tags) SNAPHOOK P ✔ Broken Wires Rust/Corrosion/Pitting Deformations Heat Damage Fittings/Thimbles Splices Labeling (tags) SNAPHOOK Deformations Heat Damage Fittings/Thimbles Splices Labeling (tags) SNAPHOOK Hook Body Hook Nose Gate (keeper) Lock Eye Hinge Spring (inside gate) Hook Body Hook Nose Gate (keeper) Lock Eye Hinge Hook Body Hook Nose Gate (keeper) Lock Eye Hinge

EM RIPTION – OPE IT # DESC WIRE R

AIL ASS OMMENTS C

Deformations Heat Damage Fittings/Thimbles Splices Labeling (tags) SNAPHOOK Hook Body Hook Nose Gate (keeper) Lock Eye Hinge Spring (inside gate) Deformations Heat Damage Fittings/Thimbles Splices Labeling (tags) SNAPHOOK Hook Body Hook Nose Gate (keeper) Lock Eye C Broken Wires Rust/Corrosion/Pitting

ASS OMMENTS C

F 

AIL ASS OMMENTS

P ✔

tting

Product Inspection Guide

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