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Lanyard & SRL Monthly Inspection
Inspection per Cal/OSHA 8 CCR 1670 / ANSI Z359.1
30-DAY INSPECTION TRACKING
🔗
Lanyards and SRLs must be removed from service immediately after any fall arrest event. Equipment showing signs of damage, wear, deployed shock absorbers, or impact indicators must be destroyed.
📋
Inspection Information
Inspector Name
*
Date
*
District / Base
*
Select District / Base...
Job Site
Prime Contractor Site
Substation
Data Center
Industrial Plant
Commercial Building
Shop / Yard
In Transit
Other
🔗
Equipment Information
Equipment Type
*
Select Type...
Shock-Absorbing Lanyard (Single Leg)
Shock-Absorbing Lanyard (Twin Leg/Y-Lanyard)
Non-Shock Lanyard (Positioning)
Self-Retracting Lifeline (SRL) - Web
Self-Retracting Lifeline (SRL) - Cable
SRL-P (Personal SRL)
SRL-LE (Leading Edge)
Retractable Lanyard
Rope Grab with Lanyard
Other
Manufacturer
Model/Part Number
Serial Number
*
Check History
Length
Assigned To
✓
Inspection Checklist
Labels & Markings
Manufacturer label legible
Pass
Fail
N/A
Model/part number visible
Pass
Fail
N/A
Serial number legible
Pass
Fail
N/A
Date of manufacture readable
Pass
Fail
N/A
Capacity/weight limit visible
Pass
Fail
N/A
Webbing/Lifeline (Lanyards)
No fraying or broken fibers
Pass
Fail
N/A
No cuts, tears, or holes
Pass
Fail
N/A
No chemical damage or discoloration
Pass
Fail
N/A
No heat/burn damage
Pass
Fail
N/A
No excessive wear or abrasion
Pass
Fail
N/A
Cable/Housing (SRLs)
Cable not kinked or bird-caged
Pass
Fail
N/A
No broken strands visible
Pass
Fail
N/A
Cable retracts smoothly
Pass
Fail
N/A
Cable extends smoothly
Pass
Fail
N/A
Housing not cracked or damaged
Pass
Fail
N/A
Housing screws/fasteners secure
Pass
Fail
N/A
Connectors & Hardware
Snap hooks function properly
Pass
Fail
N/A
Gate closes and locks securely
Pass
Fail
N/A
No cracks or deformation
Pass
Fail
N/A
Carabiners not bent or worn
Pass
Fail
N/A
D-rings intact (no cracks/distortion)
Pass
Fail
N/A
Thimbles secure (if equipped)
Pass
Fail
N/A
Shock Absorber
Shock pack not deployed/activated
Pass
Fail
N/A
Shock pack stitching intact
Pass
Fail
N/A
Shock absorber cover intact
Pass
Fail
N/A
SRL Specific
Brake mechanism engages properly
Pass
Fail
N/A
No unusual sounds during operation
Pass
Fail
N/A
Impact indicator not deployed
Pass
Fail
N/A
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Overall Result
Inspection Result
*
Pass - Approved
Fail - Needs Repair
Removed from Service
📝
Findings & Actions
Deficiencies Found
Corrective Actions
✅ Submit Lanyard & SRL Inspection
AnthroSafe™ Field Driven Safety
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