Template

Self Retracting Lifeline Monthly Inspection

by Bob Jordan, from the Community

20+

This monthly inspection checklist helps teams assess self retracting lifelines used for fall protection. Record site details, dates, and equipment identifiers, then review housing, connectors and D rings, lifeline web or cable, shock pack, and labels and markings. Mark items as pass or fail and remove any failing SRL from service for repair and recertification. Designed for transport and logistics operations seeking consistent OSHA and ANSI compliance and safer work at height practices.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Self Retracting Lifeline (SRL) Inspection
This SRL inspection template guides workers through a thorough check of self retracting lifelines, including housing condition, anchoring loop, screws and fasteners, lifeline wear and contamination, locking and brake action, smooth retraction and full extension, hooks and carabiners, reserve lifeline retention, labels, and overall disposition. Use it to document model, serial and lot numbers, manufacture date, location, personnel, and inspector signature. Ideal for construction and work-at-heights programs to maintain compliance and protect workers.
by Warbonnet Construction, from the Community
Downloads: 20+
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Template
Self Retracting Lifelines Inspection Checklist
This self retracting lifelines inspection checklist helps teams record equipment details (model, serial and lot numbers, manufacture date, department and location) and assess key safety criteria including impact indicators, screws and fasteners, housing, lifeline condition, locking action, smooth retraction and extension, hooks and carabiners, reverse lifeline function, and labels. It also captures approvals, overall disposition, and inspector details to support compliance and safer work at heights.
by Melanie Aanonson, from the Community
Downloads: 20+
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Template
Woodruff SRL Inspection Checklist
This SRL and fall protection inspection checklist helps competent inspectors assess harnesses, lanyards, carabiners, self-retracting lifelines, anchor points, and lifelines. Verify hardware condition, webbing integrity, shock pack status, label legibility, and ANSI/OSHA compliance. Capture manufacturer, model, serial numbers, dates of manufacture and first use, and detailed inspection notes.
by Tony Herring, from the Community
Downloads: 10+
Get
Template
Personal Fall Protection Inspection Checklist
Use this personal fall protection inspection template to evaluate full-body harnesses, lanyards, and self-retracting lifelines. Inspect webbing, stitching, buckles, D-rings, labels, and markings for damage or wear. Verify ANSI, OSHA, and CSA compliance, test retraction and locking mechanisms, and document serial numbers and dates. Ideal for construction safety teams conducting routine PPE checks to improve compliance and reduce risk.
by Mara Danzer, from the Community
Downloads: 30+
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Self Retracting Lifeline (SRL) Inspection

This SRL inspection template guides workers through a thorough check of self retracting lifelines, including housing condition, anchoring loop, screws and fasteners, lifeline wear and contamination, locking and brake action, smooth retraction and full extension, hooks and carabiners, reserve lifeline retention, labels, and overall disposition. Use it to document model, serial and lot numbers, manufacture date, location, personnel, and inspector signature. Ideal for construction and work-at-heights programs to maintain compliance and protect workers.

by Warbonnet Construction, from the Community

20+

Get

Template

Self Retracting Lifelines Inspection Checklist

This self retracting lifelines inspection checklist helps teams record equipment details (model, serial and lot numbers, manufacture date, department and location) and assess key safety criteria including impact indicators, screws and fasteners, housing, lifeline condition, locking action, smooth retraction and extension, hooks and carabiners, reverse lifeline function, and labels. It also captures approvals, overall disposition, and inspector details to support compliance and safer work at heights.

by Melanie Aanonson, from the Community

20+

Get

Template

Woodruff SRL Inspection Checklist

This SRL and fall protection inspection checklist helps competent inspectors assess harnesses, lanyards, carabiners, self-retracting lifelines, anchor points, and lifelines. Verify hardware condition, webbing integrity, shock pack status, label legibility, and ANSI/OSHA compliance. Capture manufacturer, model, serial numbers, dates of manufacture and first use, and detailed inspection notes.

by Tony Herring, from the Community

10+

Get

Template

Personal Fall Protection Inspection Checklist

Use this personal fall protection inspection template to evaluate full-body harnesses, lanyards, and self-retracting lifelines. Inspect webbing, stitching, buckles, D-rings, labels, and markings for damage or wear. Verify ANSI, OSHA, and CSA compliance, test retraction and locking mechanisms, and document serial numbers and dates. Ideal for construction safety teams conducting routine PPE checks to improve compliance and reduce risk.

by Mara Danzer, from the Community

30+

Get

Self Retracting Lifeline Monthly Inspection

About author

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Self Retracting Lifeline (SRL) Inspection

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Self Retracting Lifeline (SRL) Inspection

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