Serial Number(s):
Model Number:
Inspection Date:
Component:
Inspection:
SRD
Inspect for loose fasteners and bent or damaged parts.
(Figure 10)
Inspect the Housing (A) for distortion, cracks, or other damage.
Inspect the Swivel (B) and Swivel Eye or Integral Connector (C) for
distortion, cracks, or other damage. The Swivel should be attached
securely to the SRD, but should pivot freely. The Swivel Eye or Integral
Connector should rotate freely in the Swivel.
The Lifeline (D) should pull out and retract fully without hesitation or
creating a slack line condition.
Ensure the SRD locks up when the Lifeline is jerked sharply. Lockup should
be positive with no slipping.
All labels must be present and fully legible (see Figure 14).
Inspect the entire SRD for signs of corrosion.
End Connectors
Table 1 identifies the End Connectors that should be included on your
(Figure 11)
Nano-Lok SRD model. Inspect all Snap Hooks, Carabiners, Rebar Hooks,
Interfaces, etc. for signs of damage, corrosion, and proper working
condition. Where present: Gates (B) should open, close, lock, and unlock
properly, Swivel Eyes (A) should rotate without interference, and Locking
Buttons and Locking Pins should function correctly.
Web Lifeline
Inspect webbing; material must be free of cuts (A), frays (B), or broken
(Figure 12)
fibers. Check for tears, abrasions, heavy soiling (C), mold, burns (D), or
discoloration. Inspect stitching; Check for pulled or cut stitches. Broken
stitches may be an indication that the device has been impact loaded and
must be removed from service.
Energy Absorber
Verify that the integral Energy Absorber has not been activated. An open
(Figure 13)
cover or torn cover (A), webbing pulled out of the cover, torn or frayed
webbing (B), ripped stitching, etc. are indicators of an activated Energy
Absorber.
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Table 3 – Inspection and Maintenance Log
(See Section 2 for Inspection Frequency)
12
Date Purchased:
Date of First Use:
Inspected By:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
User
Competent
Person
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due: