INSPECTION
Kit details
Serial number
Model
Date of Inspection
 -
Day
 -
Month
Year
Date
Owner/user of kit
Inspector
Inspection Tag (TI01) number
Next inspection due
Annually
Quarterly (R) Jan-Mar (G)Apr -Jun (B) Jul - Sept (G) Oct-Dec
Inspection due date
 -
Day
 -
Month
Year
Date
Back
Next
Rope
Serial Number, if applicable
1 of 4: ROPE Action - Is the rope contaminated
Rope OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 4: ROPE Action - Is there Damage/Deformed/Excessive Wear
Rope OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
3 of 4 ROPE Action - are the Labels intact
Rope OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
4 of 4: ROPE Action - Is the Security Intact
Rope OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Back
Next
RSBD - (1)
Serial Number, if applicable
1 of 4 RSBD (1) - Is the RSBD contaminated
RSBD OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 4: Is the RSBD (1) Damaged/Deformed or have excessive wear
RSBD OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
3 of 4: RSBD (1) - Labels intact
RSBD (1) OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
4 of 4: RSBD (1) - Security intact
RSBD OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
RSBD - (2)
Serial Number, if applicable
1 of 4 RSBD (2) - Is the RSBD contaminated
RSBD OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 4 RSBD (2): Is the RSBD Damaged/Deformed or have excessive wear
RSBD OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
3 of 4 RSBD (2): - Labels intact
RSBD (1) OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
4 of 4 RSBD (2): - Security intact
RSBD OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Back
Next
Grab (1)
Serial Number, if applicable
1 of 3 Grab (1) - Is the Grab contaminated
Grab OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 3 Grab (1): Is the Grab Damaged/Deformed or have excessive wear
Grab OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
3 of 3 Grab (1): - Labels intact
Grab (1) OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Grab (2)
Serial Number, if applicable
1 of 3 Grab (2) - Is the Grab contaminated
Grab OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 3 Grab (2): Is the Grab Damaged/Deformed or have excessive wear
Grab OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
3 of 3 Grab (2): - Labels intact
Grab OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Back
Next
Pulley (1)
Serial Number, if applicable
1 of 2 Pulley (1) - Is the Pulley contaminated
Pulley OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Pulley (1): Is the Pulley Damaged/Deformed or have excessive wear
Pulley OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Pulley (2)
Serial Number, if applicable
1 of 2 Pulley (2) - Is the Pulley contaminated
Pulley OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Pulley (2): Is the Pulley Damaged/Deformed or have excessive wear
Pulley OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Back
Next
Karabiner (1)
Serial Number, if applicable
1 of 2 Karabiner (1) - Is the Karabiner contaminated
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Karabiner (1): Is the Karabiner Damaged/Deformed or have excessive wear
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Karabiner (2)
Serial Number, if applicable
1 of 2 Karabiner (2) - Is the Karabiner contaminated
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Karabiner (2): Is the Karabiner Damaged/Deformed or have excessive wear
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Karabiner (3)
Serial Number, if applicable
1 of 2 Karabiner (3) - Is the Karabiner contaminated
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Karabiner (3): Is the Karabiner Damaged/Deformed or have excessive wear
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Karabiner (4)
Serial Number, if applicable
1 of 2 Karabiner (4) - Is the Karabiner contaminated
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Karabiner (4): Is the Karabiner Damaged/Deformed or have excessive wear
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Karabiner (5)
Serial Number, if applicable
1 of 2 Karabiner (5) - Is the Karabiner contaminated
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Karabiner (5): Is the Karabiner Damaged/Deformed or have excessive wear
Karabiner OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Back
Next
Sling 120cm (1)
Serial Number, if applicable
1 of 2 Sling (1) - Is the Sling contaminated
Sling OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Sling (1): Is the Sling Damaged/Deformed or have excessive wear
Sling OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Sling 120cm (2)
Serial Number, if applicable
1 of 2 Sling (2) - Is the Sling contaminated
Sling OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Sling (2): Is the Sling Damaged/Deformed or have excessive wear
Sling OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Sling 240cm
Serial Number, if applicable
1 of 2 Sling 240cm - Is the Sling contaminated
Sling OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Sling 240cm: Is the Sling Damaged/Deformed or have excessive wear
Sling OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
Back
Next
Bag
Serial Number, if applicable
1 of 2 Bag - Is the Bag contaminated
Bag OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
2 of 2 Bag: Is the Bag Damaged/Deformed or have excessive wear eg zipper/straps
Bag OK, no action required
Corrective Action Required
Remove from service
Corrective action to be taken
Corrective action completed
Replaced components list - include serial number
Corrective Action completed
Yes
No
QMS/CIP comments (Could this be prevented, how?)
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