Guardian Fall Inspection Form Self-Retracting Lifelines 2011 free printable template

INSPECTION FORM Self-Retracting Lifeline USER MODEL SERIAL # DATE OF MANUFACTURE Note # F P LENGTH OF WEB OR CABLE Name of Competent Inspector Date HOUSING Anchorage Point Nuts or Bolts or Rivets

How to fill out Guardian Fall Inspection Form Self-Retracting Lifelines

How to fill out Guardian Fall Inspection Form Self-Retracting Lifelines

1. Start by obtaining the Guardian Fall Inspection Form for Self-Retracting Lifelines.
2. Fill in the date of the inspection at the top of the form.
3. Enter the model number and serial number of the self-retracting lifeline.
4. Provide the name of the person conducting the inspection.
5. Record the inspection location relevant to where the lifeline is used.
6. Check and document the condition of the lifeline, including signs of wear or damage.
7. Test the retraction mechanism and ensure it operates smoothly.
8. Inspect the anchor points and connection hardware for integrity.
9. Note any maintenance performed or required repairs in the comments section.
10. Sign and date the form after completing the inspection.

Who needs Guardian Fall Inspection Form Self-Retracting Lifelines?

1. Construction workers using self-retracting lifelines for fall protection.
2. Safety officers responsible for ensuring compliance with fall protection regulations.
3. supervisors who oversee the use and maintenance of fall protection equipment.
4. Employers who are required to keep inspection records for safety audits.

People Also Ask about

Can a lifeline be self retracting?

Self retracting lifelines (SRL) are designed using webbing, wire rope, or a cable that automatically retracts into a housing unit, never allowing for any slack in the line. SRLs are longer than lanyards and permit a larger working radius, even when using a fixed anchor point—which is typically overhead.

What is required for self retracting lanyard inspection?

Inspect along all webbing and rope materials. Look for tears, cuts, fraying, abrasion, discoloration, burns, holes, mold, unsplicing, pulled or broken stitches, or other signs of wear or damage. Sewn terminations should be secure, complete, and not visibly damaged. All rope splices should be secure.

How often do SRLs need to be inspected?

At a minimum, a periodic inspection is needed once every year, and not to exceed 12 months. A periodic inspection is a documented hand-over-hand inspection of each lanyard / SRL by a Competent Person.

What are the OSHA requirements for self retracting lifelines?

Self-retracting lifelines and lanyards that automatically limit free fall distance to 2 feet (0.61 m) or less must have components capable of sustaining a minimum tensile load of 3,000 pounds (13.3 kN) applied to the device with the lifeline or lanyard in the fully extended position.

What inspection procedures must take place prior to using a self retracting lifeline?

Before every use, OSHA Standard 1910.140 says that SRLs and other personal fall protection systems must “be inspected before initial use during each work shift for mildew, wear, damage, and other deterioration, and defective components must be removed from service.”Even if the operator spots damage that does not affect

What is the OSHA requirements for retractable lanyard?

Under OSHA's regulations, a retractable lanyard that stops the fall within 2 feet must have a tensile strength of 3,000 lbs. When using such a lanyard, is an anchorage with a capacity of 3,000 lbs.

How do you inspect self retracting lifeline?

1:46 4:10 Start by pulling out the cable by the handle and visually inspecting the cable and run your glovedMoreStart by pulling out the cable by the handle and visually inspecting the cable and run your gloved hand along and checking for burrs phrase deads or anything that might affect the function of the srl.

How do you inspect an SRL?

1:46 4:10 How to Inspect a Self Retracting Lifeline (SRL) - YouTube YouTube Start of suggested clip End of suggested clip Start by pulling out the cable by the handle and visually inspecting the cable and run your glovedMoreStart by pulling out the cable by the handle and visually inspecting the cable and run your gloved hand along and checking for burrs phrase deads or anything that might affect the function of the srl.

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What is Guardian Fall Inspection Form Self-Retracting Lifelines?

The Guardian Fall Inspection Form for Self-Retracting Lifelines is a document used to record the inspection details, performance checks, and maintenance activities of self-retracting lifelines to ensure they are safe for use in fall protection.

Who is required to file Guardian Fall Inspection Form Self-Retracting Lifelines?

Individuals responsible for the safety management of work sites where self-retracting lifelines are used, such as safety officers, site supervisors, or technicians in charge of fall protection equipment, are required to file this inspection form.

How to fill out Guardian Fall Inspection Form Self-Retracting Lifelines?

To fill out the Guardian Fall Inspection Form, users must complete sections detailing the date of inspection, the inspection performed by, the condition of the equipment, testing results, any maintenance performed, and any necessary comments or observations.

What is the purpose of Guardian Fall Inspection Form Self-Retracting Lifelines?

The purpose of the Guardian Fall Inspection Form is to maintain a record of inspections and ensure that self-retracting lifelines are functioning properly and are safe for use, thereby preventing accidents and injuries related to falls.

What information must be reported on Guardian Fall Inspection Form Self-Retracting Lifelines?

The information that must be reported includes the date of the inspection, name of the inspector, model and serial number of the lifeline, condition of the equipment, findings from performance tests, any repairs or maintenance performed, and the inspector's signature.