INSPECTION FORM
ANCHORAGE
CONNECTORS
Serial # Owner/Company:
Date of First Use: Inspector:
Date of Manufacture: Date of Inspection:
LABELS & MARKINGS Pass Fail
Are labels intact & legible?)
WIRE ROPE SLING
Are appropriate ANSI/OSHA/CSA
markings visible?
Are inspections current/up-to-date?
Is date of first use documented?
D-RINGS Pass Fail
Wire Rope
Signs of deformity present?
Is body of D-Ring damage free?
Free of corrosion?
Free of pitting/nicks?
BODY OF ANCHORAGE Pass Fail
Are bars, shafts, housing damage free? Termination
There is no damage/fraying/broken
stitching?
Impact indicator shows no signs of ANCHORAGE STRAP
deployment?
MATERIAL (WEB OR CABLE) Pass Fail
Is there any broken/missing/loose
stitching?
Stitch Pattern
Check termination stitching & Splices.
Is webbing length proper length?
Label
Are there any cuts/burns/holes? Webbing
Is there any chemical or paint damage?
Does cable show excessive wear? D-Ring
Inspected by : ____________________________ Date / time : ________________