Scribd
Upload
268 views1 page

Daily Life Line Inspection Checklist

The document is a Daily Life Line Inspection Form used to assess safety equipment related to work at height. It includes a checklist for various items such as wire rope condition and anchorage points, along with a section for supervisor signatures and remarks. The form utilizes a simple legend to indicate the status of each item inspected.

Uploaded by

rohankokane18
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
268 views1 page

Daily Life Line Inspection Checklist

The document is a Daily Life Line Inspection Form used to assess safety equipment related to work at height. It includes a checklist for various items such as wire rope condition and anchorage points, along with a section for supervisor signatures and remarks. The form utilizes a simple legend to indicate the status of each item inspected.

Uploaded by

rohankokane18
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Daily Life Line Inspection Form

Company: Trade of Work:

Month: Usage Date

Work at Height
permit No:

Sl No: Items CHECK

1 Wire Rope Condition


2 Wire Rope Tension
3 Bulldog Clip Point
4 Anchorage Point
5 Life line Protection Against Damage At
anchorage Point
6 Installed According to PE Design
7 Risk Impact Assessment Briefing to Users
Signature
Supervisor
Name

Legends:  = OK/ Good = Not OK/ Bad NA = Not Applicable.

Remarks :

MLDL/EHS/SMARRT/CL 12 Page 1|1

You might also like