KStrong Inspection Forms

®

INSPECTION FORM VERTICAL LIFELINES

Unrivaled Safety.

Manufacturer: Model #: Description: Unique Identification number - UID #: Date of Manufacture:

®

Unrivaled Safety.

Owner/Company: Date of Inspection: In-Service Date: Inspector’s Name: Signature:

®

Kernmantle Rope

Twisted Rope

Unrivaled Safety.

Vertical Lifeline (Rope, shock absorber, positioning device & connectors)

Pass Fail Note

LABELS & MARKINGS

Labels (Intact & Legible) Appropriate Standards Markings Visible Inspections Are Current / Up-to-date Date of First Use Documented

Connector

Pass Fail Note

HARDWARE

Connector (Self-Closing & Locking) Hook Gate / Rivets Corrosion Pitting / Nicks

Rope Grab

Shock Absorber

Pass Fail Note

Broken / Missing / Loose Stitching Termination (Stitch, Splice, or Swage) Excessive Wear (Fraying or Broken Strands) Cuts / Burns / Holes Kinks Separation / Bird-Caging MATERIAL (ROPE OR CABLE) Cover / Shrink Tube (Don’t Cut or Remove) Damage / Fraying / Broken Stitching Impact Indicator (Signs of Deployment) SHOCK PACK (IF PRESENT) Locks on lifeline automatically Moves freely when disengaged No visible damage, rust or corrosion ROPE GRAB (IF PRESENT)

Rope

APP M O B I L E

Pass Fail Note

NOTES

Pass Fail Note

KStrong Compass™ App Intelligently Track & Inspect All Your Assets from Any Location

MOBILE APP

Inspection Form Revision Date: 9 th September, 2021

customercare@kstrong.com

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