INSPECTION FORM: Lanyard
OHSA 1926.502(d)(21)
Personal fall arrest systems SHALL be inspected prior to each use for wear, damage, and other
deterioration, and defective components SHALL be removed from service.
6.1 Inspection
6.1.1 Equipment SHALL be inspected by the user before each use and, additionally, by a
competent person other than the user at intervals of no more than one year.
FREQUENCY OF INSPECTION IN THE FOLLOWING CATEGORIES: LOOK AT:
General Industry: Construction: 1 Hardware 2 Webbing
Your Organization: Manufacturer: 3 Stitching 4 Labels/Tags
MANUFACTURER OF EQUIPMENT: LOOK FOR:
Name of Manufacturer:
Serial #: Model #: 1 HARDWARE
Date of Manufacture: ___/___/___ Rust/corrosion
Deformed/bent
INSPECTION: REMOVE FROM SERVICE WHEN: Burs/cracks
Date: ___/___/___ Date: ___/___/___ Weld spots/slag
Missing rivets
NAME OF COMPETENT PERSON: Springs
Functionality
NAME OF USER (AUTHORIZED PERSON):
Other
2 WEBBING
Cuts/burns/holes
Excessive wear
Excessive UV damage
Chemical attack
Writing on the webbing
Other
3 STITCHING
Missing
Loose
Broken
Other
4 LABELS/TAGS
Missing
Illegible
Dates
Other
PASS FAIL