Lanyard Inspection Form
This inspection is to be completed for Validus Energy owned lanyards
Inspector
First Name
Last Name
Date of Inspection
-
Month
-
Day
Year
Date
Feild Office
Manufacturer
Model
Serial Number
If the serial number cannot be read, the inspection Fails
Hardware
Inspect for damage, distortion, sharp edges, burrs, cracks, corrosion and proper operation. (Includes snap hooks, carabiners, adjusters, keepers, thimbles and D‐rings).
Pass
Fail
Comments
Webbing
Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration.
Pass
Fail
Comments
Stitching
Inspect for pulled or cut stitches.
Pass
Fail
Comments
Synthetic Rope
Inspect for pulled or cut yarns, burns, abrasion, knots,excessive soiling and discoloration.
Pass
Fail
Comments
Wire Rope
Inspect for broken wires, corrosion, kinks and separation of strands.
Pass
Fail
Comments
Shock Absorber
Inspect for elongation, tears and excessive soiling.
Pass
Fail
Comments
Labels
Inspect and make certain all labels are securely held in place and legible.
Pass
Fail
Comments
Inspection Result
All Components must pass for a passing result.
Pass
Fail
Comments
Submit
Should be Empty: