HEALTH, SAFETY & ENVIRONMENT

REGISTERS & CHECK LISTS

MONTHLY FALL PROTECTION EQUIPMENT REGISTER

NAME OF CONTRACT
GFI-JV NAME OF INSPECTOR
Vaughan Swart
SECTION OR AREA
MALIBONGWE DESIGNATION
Safety Officer

INSPECTION CODES DATE FALL PROTECTION FAULTS FOUND REMARKS & ACTION SAFE SIGNATURE
EQUIPMENT NUMBER (use inspection codes) (yes or no)
01 A Fall Protection Supervisor to be
appointed.

02 Users of the fall protection equipment

trained in the use of the equipment.
03 Users are physically and psychologically DATE FALL PROTECTION FAULTS FOUND REMARKS & ACTION SAFE SIGNATURE
fit for heights. EQUIPMENT NUMBER (use inspection codes) (yes or no)
04 Damage to the Shoulder strap
(Abrasions, cuts / frayed).
05 Damage to the Secondary strap
(abrasions, cuts / frayed).
06 Damage to the Primary (Sit) strap
(abrasions, cuts / frayed).
07 Damage to the Thigh strap
(Abrasions, cuts / frayed).
08 Damage to lanyards
(Abrasions, cuts / frayed).

09 Damage to the back support

(Abrasions, cuts / frayed).
10 Damage to the adjustment mechanisms
(deformity, rust)?
11 Damage to the fall arrest attachment
element (deformity)?
12 Damage to the Buckles
(Deformity, rust)?
13 Damage to the seams or stitching of the
equipment?
14 Fall arrest equipment checked by a
competent person every year?

15 Life line rope in good order (not frayed or

visual damaged)?

16 Equipment stored on hooks away from

dirt / chemicals?

17 Other

18 Other

19 Other

20 Other