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APPENDIX 1: INSPECTION CHECKLIST/LOGS SELF RETRACTING LIFELINES Inspection Checklist / Log Self Retracting Lifeline Model: Manufacture Date: Serial Number: Lot Number: Purchase Date: Owner / Dept.

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How to fill out the Lifeline Inspection Checklist online

Filling out the Lifeline Inspection Checklist online is a straightforward process that helps ensure safety and compliance in the use of self-retracting lifelines. This guide will walk you through each step to complete the form effectively.

Follow the steps to successfully complete the Lifeline Inspection Checklist.

  1. Press the ‘Get Form’ button to access the Lifeline Inspection Checklist and open it in the online editor.
  2. Begin by entering the model of the self-retracting lifeline in the designated field.
  3. Fill in the manufacturing date, serial number, lot number, and purchase date accurately.
  4. Provide details regarding the owner, department, and the location where the lifeline is used.
  5. Enter the owner's ID number for identification purposes.
  6. Proceed to the general factors section, inspecting each component systematically and selecting either 'Accepted' or 'Rejected' for the impact indicator, screws/fasteners, housing, lifeline, locking action, retraction/extension, hooks/carabiners, reserve lifeline, and labels.
  7. For each inspected component, provide any additional comments or observations in the blank sections provided.
  8. Once you have completed all sections, enter the name of the person who inspected the lifeline and the date of inspection.
  9. Finally, review all entries for accuracy, then save changes, download, print, or share the completed form as needed.

Complete your Lifeline Inspection Checklist online today for enhanced safety compliance.

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When inspecting the safety sleeve, look at the handle and cable shoe, fasteners, locking lever, rollers, and gravity stop. Also check to make sure that all service labels and markings are present and fully legible. Workers should inspect the vertical lifeline, ladder structure, and body harness before each use.

The following are good industry practices for the safe use of a vertical lifeline: No knots or splices in the lifeline except at the termination points. Attach each lifeline to an independent point of anchorage. Only one worker connected to a vertical lifeline.

Lifelines used on rock-scaling operations, or in areas where the lifeline may be subjected to cutting or abrasion, shall be a minimum of 7⁄8 -inch wire core manila rope. For all other lifeline applications, a minimum of 3⁄4 -inch manila or equivalent, with a minimum breaking strength of 5,000 pounds, shall be used.

Lifelines shall be secured above the point of operation to an anchorage or structural member capable of supporting a minimum dead weight of 5,400 pounds.

Vertical Lifeline Safety Inspection Inspections of vertical lifeline equipment are not limited to, but should include: Inspection of the vertical lifeline, ladder structure, and body harness. Making sure are labels and markings are present and legible. Inspection of any brackets, cables, cable guides and fasteners.

Lifeline Systems Inspection Frequency The regulation requires the systems are inspected and certificated every 12 months by a competent height safety specialist company.

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