Inspection Checklist

Inspection Checklist

Model Number:   Serial Number:  
Date:   Inspector (Name / Signature):  
Date of Manufacture:   Date of Purchase:  
Date of First Use:   Date Due for Next Periodic Inspection:  
# Description Good—Safe for Use Good—Safe for Use Good—Safe for Use Good—Safe for Use Good—Safe for Use Good—Safe for Use Damaged, Worn, Altered, Missing—Remove from Service Comments
1 Load indicator                
2 Pin connector                
3 Bracket                
4 Housing / Fasteners                
5 Labels                
6 Energy absorber pouch                
7 Lifeline                
8 Snaphook                
  Lock on (ensure device locks)                
V-TEC EDGE Web PFL V-TEC EDGE Cable PFL