CANWIDE STEEL LTD. · OHS – FALL PROTECTION EQUIPMENT INSPECTION

FALL PROTECTION EQUIPMENT INSPECTION

OHS PROGRAM – INSPECTION FORM

FORM #: 11-12 | Created: July 2026 | Rev. 1.0

Date

Inspector

Location / Site

Project #

Equipment Type

Mfr / Model

Serial # / ID

Date of Mfr

Inspection Type

Pre-Use Annual/Formal Post-Incident Return to Service

Part 1: Full Body Harness Inspection

Part 2: Lanyard / Energy Absorber Inspection

Part 3: Self-Retracting Lifeline (SRL) Inspection

Part 4: Anchorage / Anchor Connector Inspection

Deficiencies Found

#	Description	Corrective Action	Assigned To	Date Fixed
1
2
3
4
5

WARNING: Any fall protection component that has arrested a fall, shows visible damage, or fails inspection must be immediately removed from service and tagged "Do Not Use." Shock-absorbing lanyards with deployed packs must be destroyed. SRLs must be returned to the manufacturer or authorized service center for post-fall inspection. Equipment shall not be used for employee protection until inspected and approved by a competent person per 29 CFR 1926.502(d)(20).

Overall Equipment Status

APPROVED FOR USE REMOVED FROM SERVICE REQUIRES MFR SERVICE

Inspector

Date

Competent Person (annual)

Date

Safety Manager

Date