Fall Protection Inspection
Equipment Inspected: *
Your answer
Inspection By: *
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Jobsite/Location of Equipment: *
Your answer
Date of Inspection: *
MM
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DD
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YYYY
Date of 1st Use *
MM
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DD
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YYYY
Serial Number: *
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Manufacturer: *
Your answer
Manufactured Date: *
MM
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DD
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YYYY
Describe Equipment: *
Your answer
Webbing: *
Stitching: *
Inspection Tag & Labels Present: *
Buckles, D-rings & Hardware: *
Equipment Serviceable? *
Equipment taken out of service? *
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