Honeywell - Miller Product Inspection Guide

INSPECTION CHECKLIST - FALL PROTECTION EQUIPMENT Inspection Checklist – Fall Prote E Self Retracting Lifeline Comp w/ R very escrip odel ction eco lete D tion: M #: Inspection Checklist – Fall Prote E Self Retracting Lifeline Comp w/ R very escrip odel ction eco lete D tion: M #: Inspection Checklist – Fall Prote E Self Retracting Lifeline Comp w/ R very escrip odel ction eco lete D tion: M #: Description:

quipment quipment

quipment

Model #:

Serial #: Inspect Inspect  FAIL: Serial #: Inspect Inspect

Date o Date o

Date Inspected: e: f Manufactur e: f Manufactur ate Inspected: Date o

Serial #:

Date of Manufacture: e: f Manufactur

Serial #: Inspect

Inspector: or: or:

D D

D ate Inspected: ate Inspected:

or:

: or Signature : or Signature

Inspector Signature: Inspect

: or Signature ❑ Initial___ ______ ______

PASS: ❑ Initial_________ PASS: ❑ Initial_________ PASS: ❑ Initial_________ ✔ RETURN TO RETURN TO RETURN TO SERVICE SERVICE SERVICE ✔ ✔

8 FAIL: o Initial_________ REMOVE FROM SERVICE EMOV ❑ Initial___ R E FROM SER  FAIL: EMOV ❑ Initial___ R E FROM SER  FAIL: EPAI R R EMOV EPAI R R EPAI

______

4 PASS: o Initial_________

R E FROM SER VICE

VICE

VICE

RETURN TO SERVICE

IT #

DESCRIPTION – GENERAL

EM

F 

AIL ASS OMMENTS C

P ✔

IT # IT #

EM EM

GENERAL Load Impact Indicator Housing Cover Deformation Labeling (tags) SNAPHOOK Load Impact Indicator Housing cover Deformation Labeling (tags) SNAPHOOK DESCRIPTION – GENERAL Load Impact Indicator Housing cover Deformation Labeling (tags) SNAPHOOK DESCRIPTION – GENERAL

F 

Fail 8 AIL ASS OMMENTS C Pass 4 AIL ASS OMMENTS C Comments

P ✔ P ✔

Item #

Description Load Impact Indicator Housing cover Deformation Labeling (tags) SNAPHOOK Swivel Connectors Hook Body Hook Nose Gate (keeper) Lock Eye Hinge Spring (inside gate) Lifeline – Web F  Swivel Connectors Hook Body Hook Nose Gate (keeper) Lock Eye Hinge Spring (inside gate)

f applicable see arabiners (i C

If applicable, see carabiners f applicable see arabiners (i C f applicable see arabiners (i C

Webbing Stitching Swivel Connectors Hook Body Hook Nose Gate (keeper) Lock Eye Hinge Spring (inside gate) Swivel Connectors Hook Body Hook Nose Gate (keeper) Lock Eye Hinge Spring (inside gate)

Product Inspection Guide

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