Specification

Serial Number:____________________________________

Pass

Remove From Service

Inspector Name: __________________________________________________ Inspection Date: _______________________

Model Number: ______________________Manufacture Date:__________________Date of First Use:__________________

For more information, please see user instructions sent with the product at the time of shipment.

Webbing

To inspect webbing, bend a portion of the webbing 6-8 inches into an upsidedown ‘U’ shape. Continue along all webbing

inspecting for tears, cuts, fraying, abrasion, discoloration, burns, holes, mold, pulled or broken stitches, or other signs of wear

and damage. Adjust all keepers, buckles, padding and D-ring to inspect webbing hidden by these components.

Pass

Remove From Service

Comments: ___________________________________________________________________________________________

Tears Cuts Fraying Abrasion

Discoloration Burns Holes Mold

Pass

Remove From Service

Stitching

Sewn terminations must be secure, complete, and not visibly damaged.

Comments: ___________________________________________________________________________________________

Broken Missing Load Indicator Warning

Lanyard

Inspection Sheet

WERNER CO. CORPORATE HEADQUARTERS: 93 Werner Rd., Greenville, PA 16125-9499

TEL: 888-523-3370 FAX: (724) 588-0315 www.wernerco.com

Cable

Cable must be inspected for kinks, broken strands, corrosion, abrasion, or other signs of wear and damage. Swaged

terminations should be secure with the thimble tight, and not visibly damaged.

Pass

Remove From Service

Kinks Corrosion Abrasion Separation of Wire

Chemical Attack Broken Wire Alteration Excessive Heating

Comments: ___________________________________________________________________________________________

Rope

Rope must be inspected for tears, cuts, fraying, abrasion, discoloration, burns, holes, mold, or other signs of wear and damage.

Pass

Remove From Service

Tears Cuts Fraying Abrasion Mold

Discoloration Burns Holes Unsplicing Knots

Comments: ___________________________________________________________________________________________

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Lanyard Pass Remove From Service Serial Number:____________________________________ Inspector Name: __________________________________________________ Inspection Date: _______________________ Model Number: ______________________Manufacture Date:__________________Date of First Use:__________________ For more information, please see user instructions sent with the product at the time of shipment. Webbing To inspect webbing, bend a portion of the webbing 6-8 inches into an upsidedown ‘U’ shape.
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Lanyard Chain Chain must be free from wear, nicks, cracks, breaks, gouges, stretch, bend, and discoloration from excessive temperatures. Wear Cracks Gouges Bent Nicks Breaks Stretched Excessive Heating Pass Remove From Service Comments: ___________________________________________________________________________________________ Snap hooks / Carabiners Snap hooks and carabiners on product must be able to self-close and lock.