Form
Form - Fall Protection Equipment Inspection Card
Document FSSMS-FRM-38Stage 1Revision 4Version 0.3.3
Topic pages open on your jurisdiction, and requirements tables show its line. You can change this on any page.
One card per item of fall protection equipment: harnesses and ladder belts worn on aerial devices, towers and apparatus, lanyards, energy absorbers, self-retracting devices, connectors, anchor connectors and lifelines. Harnesses and hardware kept in a rope rescue kit are logged on Form - Rope and Rescue Equipment Log instead, so no item carries two records. The card follows the item. The user records a pre-use inspection only when it finds a defect; a competent person records every post-use inspection after firefighting or rescue (a duty some jurisdictions set by regulation: J16 Fall Protection and Rope Access), every periodic inspection and every inspection after an event. The inspection points and removal criteria follow the selection and use standard for active fall protection and the manufacturer’s instructions (CSA Z259.17:21), with life safety harnesses inspected to the care requirements of the life safety rope and equipment standard (NFPA 2500, 2022, ch. 24 to 28). The program sets the periodic interval at six months or the manufacturer’s interval if shorter (Working at Heights and Fall Protection Program section 5.10). The pocket check is in the program’s section 17.9.
| Field | Entry |
|---|---|
| Card number and item ID (marked on the item) | |
| Item type (full-body harness / ladder belt / work-positioning belt / lanyard / energy absorber / self-retracting device / connector / anchor connector / horizontal lifeline / vertical lifeline and fall arrester) | |
| Standard and class (CSA Z259 part and class, or NFPA 2500 class for a life safety harness) | |
| Manufacturer, model, serial or lot number, size | |
| Date of manufacture; date in service; service life ends (manufacturer’s limit) | |
| Assigned to (apparatus, tower, station or member) and storage location | |
| Compatible components confirmed for the system it is used in (connector, lanyard, anchor), by a competent person (date) |
Inspection type: U user pre-use (record only when a defect is found); P post-use after firefighting or rescue (competent person, before reuse); C competent-person periodic; E after an event (arrested fall, impact, heat or flame, chemical, contamination).
| Date | Type (U / P / C / E) | Exposure since last inspection | Labels | Webbing and stitching | Hardware and connectors | Indicator, absorber, self-retracting function | Result (in service / quarantine / remove) | Action taken | Inspector (name, competent-person reference) | Next periodic due |
|---|---|---|---|---|---|---|---|---|---|---|
- Labels: present and legible: standard, class, serial or lot, date of manufacture, manufacturer.
- Webbing and straps: cuts, burns, melting, abrasion, glazing, chemical staining, fading, stiffness, mould, broken fibres.
- Stitching: broken, pulled, cut or missing stitches; exposed contrasting safety thread where the manufacturer uses it.
- Hardware: D-rings, buckles, adjusters, snap hooks and carabiners free of cracks, deformation, corrosion and sharp edges; gates close and lock by themselves; springs work.
- Indicators and energy absorbers: fall arrest indicator intact; absorber pack closed and undeployed.
- Self-retracting devices: housing intact; line extracts and retracts fully; the brake locks on a sharp pull; manufacturer service date current.
- Lifelines, fall arresters and anchor connectors: condition and function to the manufacturer’s instructions; rating label legible.
| Field | Entry |
|---|---|
| Date removed and by whom (role) | |
| Reason (arrested a fall / impact load / heat or flame / chemical / contamination that cannot be cleaned / failed inspection / service life reached / manufacturer notice / doubt) | |
| Quarantine tag number and location | |
| Decision (returned to the manufacturer for inspection, with result / destroyed, with method) | |
| Competent person sign-off (name, date) | |
| Inventory updated (by, date) |
| Field | Type | Required | Who completes |
|---|---|---|---|
| Card number and item ID | Text, unique | Yes | Program manager or competent person |
| Item type | Single choice | Yes | Competent person |
| Standard and class | Text | Yes | Competent person, from the label |
| Manufacturer, model, serial or lot, size | Text | Yes | Competent person |
| Date of manufacture; date in service; service life ends | Dates | Yes | Competent person |
| Assigned to and storage location | Text | Yes | Program manager |
| Compatibility confirmed | Date and initials | Yes for items used in a system | Competent person |
| Inspection date and type | Date; single choice | Yes for every entry | Inspector |
| Exposure since last inspection | Text | Yes for P and E entries | Inspector, from the user or the incident report |
| Inspection point results | Pass or fail per column, with notes | Yes | Inspector |
| Result | Single choice | Yes | Inspector |
| Action taken | Text | Yes if not in service | Inspector |
| Inspector name and competent-person reference | Text | Yes | Inspector |
| Next periodic due | Date | Yes for C entries | Competent person |
| Removal: date, reason, tag, decision, sign-off | Date; choice; text; signature | Yes when removed | Competent person |
| Inventory updated | Initials and date | Yes when removed | Program manager |
Retention. For the life of the item plus five years, the schedule in 05 Document Control and Records (Working at Heights and Fall Protection Program section 10). Hard rule. An item with an open quarantine entry, a missed post-use inspection or a passed service life date is not used, whatever its condition looks like. Privacy. The card names the inspector and, for personal issue, the member; it carries no other personal information.
This chapter relies on the following legal requirements, which differ by province and territory. Check your jurisdiction’s section on each topic page before adopting it.
| Topic | What to check in your jurisdiction | Page |
|---|---|---|
| Equipment Inspection, Ladders and Aerial Devices | The required inspection of fall protection equipment by the user before each use and by a competent person at set intervals (the six-month interval here is the program’s choice), and how long inspection and maintenance records must be kept | J15 Equipment Inspection, Ladders and Aerial Devices |
| Fall Protection and Rope Access | Which CSA Z259 parts and editions the regulation names for harnesses, belts, lanyards, energy absorbers, lifelines, self-retracting devices and connectors; any harness or belt rule for aerial ladders and platforms; and whether a harness worn for firefighting or rescue must be inspected by a competent person before reuse | J16 Fall Protection and Rope Access |
CSA Group. (2021). CSA Z259.17:21, Selection and use of active fall-protection equipment and systems (2nd ed.). https://www.csagroup.org/store/product/CSA%20Z259.17:21/
National Fire Protection Association. (2022). NFPA 2500, Standard for operations and training for technical search and rescue incidents and life safety rope and equipment for emergency services (consolidates NFPA 1670, 1858 and 1983). https://www.fire-police-ems.com/NFPA2500-2022.shtml