Yo-Yo Inspection

Inspected by

Date inspected

Anchorage plate model

Manufacture date

Serial number

Lot number

Purchase date

Impact indicator: Inspect indicator for activation (rupture of red stitching, elongated indicator, etc.)

Accepted

Rejected

Screws/fasteners: Inspect for damage and make certain all screws and fasteners are tight.

Accepted

Rejected

Housing: Inspect for distortion, cracks and other damage. Inspect anchoring loop for distortion and damage.

Accepted

Rejected

Lifeline: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration, broken wires (see impact indicator section).

Accepted

Rejected

Locking Action: Inspect for proper lock- up of brake mechanism.

Accepted

Rejected

Retraction/Extension: Inspect spring tension by pulling lifeline out fully and allowing it to retract fully (no slack).

Accepted

Rejected

Hooks/Carabiners: Inspect for physical damage, corrosion, proper operation and markings (see separate checklist/log for hooks and carabiners).

Accepted

Rejected

Reserve Lifeline: Inspect reserve lifeline retention systems for deployment.

Accepted

Rejection

Labels: Inspect, make certain all labels are securely held in place and legible.

Accepted

Rejected

Overall condition

Accepted

Rejected

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