2023 Copyright Safewaze
11
Product lifetime is indefinite as long as it passes pre-use and Competent Person inspections. User must inspect prior to
each use. Competent Person other than the user must complete formal inspection at least annually.
If equipment fails inspection
IMMEDIATELY REMOVE FROM SERVICE
Label
Label (Intact and Legible)
Appropriate ANSI / OSHA / CSA Markings
Inspections are Current / Up-to-Date
Date of First Use
Signs of Deformity
D-Ring / Connection Points
Hook Gate / Rivets (if applicable)
Corrosion / Pitting / Nicks
Termination (Stitch, Splice, or Swage)
Deterioration / Corrosion
Cuts / Burns / Holes
Integrity of Welds / Rivets
Paint Contamination
Stitching / Wire Condition
Heat Corrosion / UV Damage
Separation / Bird-Caging
PASS
PASS
PASS
FAIL
FAIL
FAIL
NOTE
NOTE
NOTE
LABELS & MARKINGS
HARDWARE
(If Applicable)
ANCHORAGE CONNECTOR
Connection
Point
Termination
Label
Webbing
Cable
POST ANCHOR
ROOF ANCHOR
Connection
Point
Welds &
Rivets
Labels
CABLE ANCHOR
CROSS ARM STRAP
INSPECTION FORM
ANCHORS
Model Number:
Name of Inspector:
Serial Number:
Description:
Signature:
Lot Number:
Date of Inspection:
Date of Manufacture:
Anchor
Material:
In-Service Date:
Company:
Manufacturer:
Galvanized Steel
Zinc-Plated Steel
Stainless Steel
Aluminum
Other:
NOTES
225 Wilshire Avenue SW, Concord NC 28025
•
800-230-0319
•
www.safewaze.com
26.0 INSPECTION FORM
