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Self-retracting lifeline inspection checklist

Self-retracting lifeline inspection checklist

Verify the condition and performance of self retracting lifelines with this detailed inspection checklist. It guides you through assessing wear, retraction, and locking mechanisms. Use this checklist to enhance safety and equipment reliability.

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Self-retracting lifeline inspection checklist

Verify the condition and performance of self retracting lifelines with this detailed inspection checklist. It guides you through assessing wear, retraction, and locking mechanisms. Use this checklist to enhance safety and equipment reliability.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Your self-retracting lifeline inspection checklist ensures comprehensive evaluation of SRLs before each use and during annual inspections. This digital template guides you through examining critical components like impact indicators, housing, lifelines, locking mechanisms, and hooks—all required by OSHA and ANSI Z359.14 standards.

When a manufacturing facility experienced a near-miss incident due to an overlooked SRL defect, implementing this systematic inspection process prevented potential falls and costly compliance violations. We created this template to help you maintain proper documentation of inspections, ensuring your fall protection equipment remains in optimal working condition to protect workers at heights.

Related categories

  • Risk management and compliance templates
  • General templates
  • Emergency preparedness templates
Preview of the template
General Inspection
Inspect for cracks, dents or other damage to housing
Ensure housing is securely mounted
Inspect anchor point for damage or deterioration
Lifeline Inspection
Fully extend and retract lifeline, ensuring smooth operation
Check for frays, cuts or excessive wear on lifeline
Ensure lifeline locks when suddenly jerked
Confirm lifeline fully retracts and locks in place
Labeling and Documentation
Verify presence and legibility of all labels and markings
Check that inspection log is up to date

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

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Apply Lumiform's workflow automation platform to all use casesConduct inspections with Lumiform's customizable workflow softwareRacking inspection softwareInspection software
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Other resources

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Inspections made easy4 types of predictive maintenance for your businessHow to implement operational excellence4 benefits of safety management and how to communicate them

Frequently asked questions

What are the most critical components to inspect on a self-retracting lifeline?

The most critical components are the impact indicator, braking mechanism, and lifeline material. Check the impact indicator first—if deployed, remove the SRL from service immediately. Next, verify the braking mechanism locks properly when pulled sharply. Finally, inspect the entire lifeline for cuts, frays, broken wires, or chemical damage while extending it fully.

How often should self-retracting lifelines be formally inspected and documented?

Self-retracting lifelines require inspection before each use by the worker, formal documented inspection by a competent person at least annually, and factory recertification typically every 2-5 years (depending on manufacturer requirements). Additionally, any SRL involved in a fall event must be immediately removed from service and inspected by a qualified person.

How can I properly test the locking mechanism on a self-retracting lifeline?

To test the locking mechanism, first mount the SRL securely (never test while lying flat). Slowly extend a portion of the lifeline, then pull it sharply downward. The brake should engage immediately and lock the lifeline. Release tension and verify it retracts properly. Repeat this test 3-4 times at different extension lengths to ensure consistent performance.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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