7
DSL Location Name
Name of Competent person
Signature of Competent person
Date of Examination
Following the above inspection is the Equipment fi t for Purpose?
No
Yes
If you have ticked NO what action have you taken or is required?
A suitably trained competent person appointed by the Company MUST undertake the Examination of Safety
Harnesses & Safety Lanyards!
DSL LANYARD
Lanyard Examination Form
DSL-138 Ready to be fi tted
DSL-138 Fitted to Harness. Check
connector is connected correctly
Only connect Scaffold Hooks to
Parking points on the Harness
Summary of Contents for DSL
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