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Eastern Washington University Self-Retracting Lifeline Inspection Form 2023-2025 free printable template

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SelfRetracting Lifeline Inspection Form Environmental Health & Safety NRL Part # ___ Date of Inspection ___ Date of Manufacture ___ Date of First Use ___ Shop/Department ___ Name of Inspector ___
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Eastern Washington University Self-Retracting Lifeline Inspection Form Form Versions

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How to fill out Eastern Washington University Self-Retracting Lifeline Inspection Form

01
Obtain a copy of the Eastern Washington University Self-Retracting Lifeline Inspection Form.
02
Identify the lifeline that needs inspection and ensure it is clean and free from debris.
03
Fill in the date of inspection at the top of the form.
04
Provide the name and position of the individual conducting the inspection.
05
Inspect the lifeline for any visible defects, wear, or damage.
06
Check the labeling and ensure it meets safety standard requirements.
07
Test the retraction mechanism to confirm it functions correctly.
08
Record any deficiencies noted during the inspection in the designated section.
09
Sign and date the form to certify that the inspection has been completed.
10
Submit the form to the appropriate safety or compliance office.

Who needs Eastern Washington University Self-Retracting Lifeline Inspection Form?

01
Employees and personnel working at heights.
02
Safety officers responsible for equipment inspections.
03
Facilities management teams overseeing safety equipment.
04
Any personnel involved in the operation or maintenance of self-retracting lifelines.
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The Eastern Washington University Self-Retracting Lifeline Inspection Form is a document used to record the inspection and maintenance of self-retracting lifelines used for fall protection in various work environments.
Employees and safety personnel responsible for the usage and maintenance of personal fall protection systems are required to file the Eastern Washington University Self-Retracting Lifeline Inspection Form.
To fill out the form, one must provide details such as the date of inspection, the name of the inspector, the condition of the lifeline, any maintenance performed, and the next scheduled inspection date.
The purpose of the form is to ensure that self-retracting lifelines are regularly inspected for safety, compliance, and functionality to prevent falls and ensure worker safety.
The information that must be reported includes the lifeline's serial number, inspection date, inspector's name, condition of the lifeline, maintenance actions taken, and the date of the next scheduled inspection.
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