Inspection Report - Fall Protection_Redacted.pdf

October 23, 2024

FBI CJIS Division Facilities Management Unit 1000 Custer Hollow Road Clarksburg, WV 26306

Recertification of CJIS Fall Protection Systems 2020

Thank you for the opportunity to perform the recertification of the fall protection systems at the CJIS.

The 2024 inspection is the final Option Year for the contract. We fully intend to submit our bid for the next

RFQ.

As previously, I want to thank and commend you and your team for your support and assistance during the inspection process as well as your knowledge and expertise concerning the safety systems at the CJIS facility. In addition – and I share this with you each year – your equipment is of the highest standard and very well maintained. Also commendable is the immediate destruction of all components found to be deficient. It is clear that the safety of all personnel is the highest priority.

Please share my sentiments with

The scope of work performed:

The inspection was performed in accordance with the Statement of Work and the Inspection Criteria.

These documents reference the American National Standards Institute (ANSI) and Occupational Safety and Health Administration (OSHA).

While OSHA gives the requirement for the duty to provide fall protection, ANSI defines the specifications and standards for the fall protection devices and components in ANSI Z359.06 2016. Additionally, the specification information for the Uniline RoofSafe, Hy-Safe, and UNI 8 Horizontal Lifeline System components was reviewed for compliance with the manufacturer. In all cases, regulatory agencies require following the manufacturer instructions.

The included report is to confirm the completion of the Annual Fall Protection System Inspection and the findings. Please see the full report on the following pages.

• CONCLUSION / CERTIFICATION: This system is safe to continue in service.

Findings are below. They are not listed in the order of inspection process or discovery, but rather the best organization for the report layout.

(REPEAT from earlier reports)There were three (3) “wing” or “butterfly” type anchors mounted directly to the vertical concrete wall.

Two were on the corner and one was flat on the wall . The brand name was not visible.

This type of anchor is generally not designed to be mounted in this configuration. Without seeing the instructions, I cannot state definitively, but I have never seen this type of anchor designed to be mounted to concrete on a vertical wall. My research could not find similar anchors with this acceptable configuration.

Below is shown a FallTech anchor which states “for mounting to metal deck structures.” The instructions also state that the anchor must be mounted at least six feet from any leading edge.

CONCLUSION: Unless it can be shown in manufacturer’s instructions to be compliant, these anchors should be removed.

CONCLUSION: This system is safe to continue in use after two (2) anchor bolt repairs: Patio and .

Several locations:

Nylon positioning /indicator bolts bent, broken, or missing, due to UV ray exposure from the sun.

The nylon bolts are impact indicators and do not compromise safety.

RECOMMENDED – Replace all of the nylon bolts on the entire system.

Shown here is the Guardian 00455, which is not designed for side stress. The mounted anchors are probably not Guardian brand, as they are always clearly labeled.

These anchors are designed for any angle when installed properly Anchor Bolt Loose: #5 Intermediate on Patio

This anchor bolt needs to be removed and reinstalled. The preferred method is expansion or wedge anchors as opposed to epoxy or chemical plugs. If chemical anchor is used, the hole must be free of contaminants and debris.

Bracket not seated properly: #2 This anchor bolt needs to be removed and reinstalled. The preferred method is expansion or wedge anchors as opposed to epoxy or chemical plugs. If chemical anchor is used, the hole must be free of contaminants and debris.

Blue lines represent the Uniline RoofSafe Anchor System.

FINDING/CONCERN: The entire perimeter is installed with one continuous run of cable. There was no excessive sagging across the roof.

CONCLUSION: All components pass inspection and are safe to continue in use.

Blue lines represent a combination of Uniline RoofSafe Anchor System, and PROBEL double lanyard pipe and cable lifeline system.

1. Decals must be legible on all components. Shock Absorbers: PROBEL PROSHOCK Part# FA-PB-IN- SH, Serial #0949 and #0964 decals worn off.

2. All three PROBEL shock absorbers had a significant amount of water in them.

3. One plastic housing was gone. SEE NOTE TO THE RIGHT OF ROOF LAYOUT

The termination points of the cable around the perimeter of the building.

One plastic housing was gone and the internal component similar image is shown.

This is a shock-absorber, designed to collapse upon impact from a fall.

– DBI Sala Horizontal Cable System with Intermediate Brackets All components pass inspection and are safe to continue in use.

Each stairwell has:

1. Three (3) Self-retracting Lanyards mounted on the top floor ceilings

2. One (1) D-Ring Plate Anchor mounted on ceiling above landing between 2nd and 3rd level.

SRL was locked up. It would not pull out for inspection. It was immediately replaced.

– DBI Sala Horizontal Cable System with Intermediate Brackets

This is an old “under construction” photo, but the areas where the fall protection is installed are present.

Yellow lines represent Uniline RoofSafe Anchor System Blue lines represent the 4” pipe and cable lifeline system.

Gradient blue square is the area of the couple of hundred window washer anchors.

FINDINGS:

• All thimbles and swages in good condition.

• Window Washer anchors all visually inspected and are in good condition.

o Parapet wall is taller than 42 inches so no fall protection is required for workers on roof as long as workers’ feet are on the roof surface – no ladder.

OTHER INSPECTION AREAS

1. LADDER INSPECTION ON 1,000,000 GALLON WATER TANK: PASS INSPECTION (See Spreadsheet)

2. WEST GATE SECURITY: Two anchors on roof. PASS INSPECTION

3. CHILD CARE CENTER: Two (2) roof-mounted SRL’s and harnesses inspected. PASS INSPECTION

4. AUDITORIUM LADDER HARNESSES and CABLE GRAB: PASS INSPECTION

5. PFAS Components Inspected in all areas/shops. Log and Excel spreadsheet will be attached separately. There are many brand new components.

a. Central Plant & Safety Department

b. Maintenance Building Shops: Electrical, Paint, Carpenter

c. Building 9 (Linemen/Tower)

d. Child Care Center harnesses

e. Auditorium ladder harnesses

f. Water Treatment Control Room: Harnesses, Confined space retrieval, ladder cable grab

CONCLUSION: All above fall protection systems/components safe to continue in use.

RECOMMENDATIONS:

1. Refresher training for retrieval winches

2. The heavy SRL’s are sometimes being worn upside down (with the anchor attachment connected to the dorsal D-ring). Determine if 11-foot SRL will allow maintenance personnel to reach the gutters for cleaning. There are several models, which are much lighter, that are designed to be worn in either direction. (Any SRL that has a rebar hook option is designed to be worn with the SRL connected to the harness.)

Two examples shown:

https://www.industrialsafetyproducts.com/frontline-rpw11-web-single-leg-11-srl-with-steel-snap-hook-end-pack-of- 6/?gclid=Cj0KCQiAuqKqBhDxARIsAFZELmL8QhEMMqzuY N9hsiADVOPYt1- Fiz6f7Xw2e1jUnmvXR_rxsIZyie0aAjrREALw_wcB https://www.industrialsafetyproducts.com/protecta-rebel-cable-self-retracting-lifeline/?sku=3590016- 1&gclid=Cj0KCQiAgK2qBhCHARIsAGACuzmNF9J67FHdhC CQb43cyBS0kh3Qbw- SyEEHhjLFqr7hOw2QmXBTFGUaAt0wEALw_wcB https://www.industrialsafetyproducts.com/frontline-rpw11-web-single-leg-11-srl-with-steel-snap-hook-end-pack-of-6/?gclid=Cj0KCQiAuqKqBhDxARIsAFZELmL8QhEMMqzuYN9hsiADVOPYt1-Fiz6f7Xw2e1jUnmvXR_rxsIZyie0aAjrREALw_wcB https://www.industrialsafetyproducts.com/frontline-rpw11-web-single-leg-11-srl-with-steel-snap-hook-end-pack-of-6/?gclid=Cj0KCQiAuqKqBhDxARIsAFZELmL8QhEMMqzuYN9hsiADVOPYt1-Fiz6f7Xw2e1jUnmvXR_rxsIZyie0aAjrREALw_wcB https://www.industrialsafetyproducts.com/frontline-rpw11-web-single-leg-11-srl-with-steel-snap-hook-end-pack-of-6/?gclid=Cj0KCQiAuqKqBhDxARIsAFZELmL8QhEMMqzuYN9hsiADVOPYt1-Fiz6f7Xw2e1jUnmvXR_rxsIZyie0aAjrREALw_wcB https://www.industrialsafetyproducts.com/frontline-rpw11-web-single-leg-11-srl-with-steel-snap-hook-end-pack-of-6/?gclid=Cj0KCQiAuqKqBhDxARIsAFZELmL8QhEMMqzuYN9hsiADVOPYt1-Fiz6f7Xw2e1jUnmvXR_rxsIZyie0aAjrREALw_wcB https://www.industrialsafetyproducts.com/frontline-rpw11-web-single-leg-11-srl-with-steel-snap-hook-end-pack-of-6/?gclid=Cj0KCQiAuqKqBhDxARIsAFZELmL8QhEMMqzuYN9hsiADVOPYt1-Fiz6f7Xw2e1jUnmvXR_rxsIZyie0aAjrREALw_wcB https://www.industrialsafetyproducts.com/frontline-rpw11-web-single-leg-11-srl-with-steel-snap-hook-end-pack-of-6/?gclid=Cj0KCQiAuqKqBhDxARIsAFZELmL8QhEMMqzuYN9hsiADVOPYt1-Fiz6f7Xw2e1jUnmvXR_rxsIZyie0aAjrREALw_wcB https://www.industrialsafetyproducts.com/protecta-rebel-cable-self-retracting-lifeline/?sku=3590016-1&gclid=Cj0KCQiAgK2qBhCHARIsAGACuzmNF9J67FHdhCCQb43cyBS0kh3Qbw-SyEEHhjLFqr7hOw2QmXBTFGUaAt0wEALw_wcB https://www.industrialsafetyproducts.com/protecta-rebel-cable-self-retracting-lifeline/?sku=3590016-1&gclid=Cj0KCQiAgK2qBhCHARIsAGACuzmNF9J67FHdhCCQb43cyBS0kh3Qbw-SyEEHhjLFqr7hOw2QmXBTFGUaAt0wEALw_wcB https://www.industrialsafetyproducts.com/protecta-rebel-cable-self-retracting-lifeline/?sku=3590016-1&gclid=Cj0KCQiAgK2qBhCHARIsAGACuzmNF9J67FHdhCCQb43cyBS0kh3Qbw-SyEEHhjLFqr7hOw2QmXBTFGUaAt0wEALw_wcB https://www.industrialsafetyproducts.com/protecta-rebel-cable-self-retracting-lifeline/?sku=3590016-1&gclid=Cj0KCQiAgK2qBhCHARIsAGACuzmNF9J67FHdhCCQb43cyBS0kh3Qbw-SyEEHhjLFqr7hOw2QmXBTFGUaAt0wEALw_wcB https://www.industrialsafetyproducts.com/protecta-rebel-cable-self-retracting-lifeline/?sku=3590016-1&gclid=Cj0KCQiAgK2qBhCHARIsAGACuzmNF9J67FHdhCCQb43cyBS0kh3Qbw-SyEEHhjLFqr7hOw2QmXBTFGUaAt0wEALw_wcB

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

DBI Sala Harness 1107404 A68948A 10/16/2024 X

DBI Sala Harness 1107405 50AB8268 10/16/2024 X

DBI Sala Harness 1107404 171312124 10/16/2024 X

DBI Sala Harness 1107405 50AB6204 10/16/2024 X

DBI Sala Talon 16' SRL 3101051

SRL: 07276

Lanyard: CB7842D 10/16/2024 X

DBI Sala Talon 16' SRL 3101051

SRL: 07777

Lanyard: C2236D1 10/16/2024 X

DBI Sala Talon 16' SRL 3101051

SRL: 07643

Lanyard: C23FEF8 10/16/2024 X

DBI Sala Talon 16' SRL 3101051

SRL: 07778

Lanyard: C21A479 10/16/2024 X

Crossarm Strap 3' 1003000 351155 10/16/2024 X

Crossarm Strap 3' 1003000 3919371 10/16/2024 X

Crossarm Strap 3' 1003000 3810857 10/16/2024 X

Crossarm Strap 3' 1003000 3919372 10/16/2024 X

Uniline Horizontal Slider 0158 A01635 10/16/2024 X

Uniline Horizontal Slider 0158 A03130 10/16/2024 X

Uniline Horizontal Slider 0158 A01673 10/16/2024 X

Uniline Horizontal Slider 0158 A01616 10/16/2024 X

Carabiner S50-958 10/16/2024 X

Carabiner S50-958 10/16/2024 X

6' Double Laynard 1246022 7433199 10/16/2024 X

6' Straight Lanyard 1246266 A865415 10/16/2024 X

Three (3) New Ropes FallTech 10/16/2024 X 5/8" x 50-foot

Hy-Safe 3' Lanyard FSL3103 34471 10/16/2024 X 5/8" x 50-foot

New in manufacturer sealed bags

IN BOILER ROOM

FALL PROTECTION INSPECTION

DOJ FBI CJIS - 1000 Custer Hollow Road, Clarksbueg, WV

Recertification of CJIS Fall Protection Systems

Crossarm Strap 3' 1003000 346513 10/16/2024 X

Crossarm Strap 3' 1003000 343204 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

FallTech Tripod 7275 4854058 10/16/2024 X

FallTech Tripod 7275 4840804 10/16/2024 X

FallTech Tripod 7275 4865004 10/16/2024 X

Condor Winch 493F87 7370218 10/16/2024 X

FallTech Winch 7297 5053394 10/16/2024 X

FallTech Winch 7297 4877552 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

Carabiner AMP9103 10/16/2024 X

Carabiner USR-12-CIL 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

Carabiner 213-060-600 10/16/2024 X

16' SRL 3101051

SRL: 08006

Lanyard: C2663C8 10/16/2024 X

Carabiner Aludesign 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

Vest Harness (XL) 1107405 C2A9021 10/16/2024 X

CONFINED SPACE ENTRY TRIPODS AND WINCHES

SAFETY DEPARTMENT

BAG -

BAG -

BAG -

Crossarm Strap 3' 10030000 351103 10/16/2024 X

Hi-Vis Vest Harness - S 1107403 238E8E13 10/16/2024 X

Hi-Vis Vest Harness - U 1107404 125229104 10/16/2024 X

Hi-Vis Vest Harness - S 1107403 23902A04 10/16/2024 X

Hi-Vis Vest Harness - U 1107404 74CDD4B9 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

Blue HySafe Harness 5250 0160 10/16/2024 X

ROPE - 25' 125229104 10/16/2024 X

ROPE - 50'

Rope Grab - Froment 081339 10/16/2024 X

Crossarm Strap 3' 1003000 351119 10/16/2024 X In bag with 25' rope

Crossarm Strap 3' 1003000 3821235 10/16/2024 X In bag with 25' rope

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

DBI Sala Talon 16' SRL 3101051 07236 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

DBI Sala Harness 1107405 New in bag 10/16/2024 X

DBI Talon Sala 16' SRL 3101051 07647 10/16/2024 X

6' Double Laynard 1246022 New in bag 10/16/2024 X

6' Straight Lanyard 1246266 New in bag 10/16/2024 X

Crossarm Strap 3' 1003000 New in bag 10/16/2024 X

New in manufacturer sealed bags

BAG LABELED "Carpenter" MEDIUM

VARIOUS EQUIPMENT

ORANGE "NORTH FACE" BAGS - All components new in bags. Some S/N not visible

BAG #1

Carabiners (two) 1107403 10/16/2024 X

Trauma Straps 1107403 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

DBI Sala Harness 1107405 New in bag 10/16/2024 X

DBI Talon Sala 16' SRL 3101051 07648 10/16/2024 X

6' Double Laynard 1246022 New in bag 10/16/2024 X

6' Straight Lanyard 1246266 New in bag 10/16/2024 X

Crossarm Strap 3' 1003000 New in bag 10/16/2024 X

Carabiners (two) 1107403 10/16/2024 X

Trauma Straps 1107403 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

DBI Sala Harness 1107405 New in bag 10/16/2024 X

DBI Talon Sala 16' SRL 3101051 07637 10/16/2024 X

6' Double Laynard 1246022 New in bag 10/16/2024 X

6' Straight Lanyard 1246266 New in bag 10/16/2024 X

Crossarm Strap 3' 1003000 New in bag 10/16/2024 X

Carabiners (two) 1107403 10/16/2024 X

Trauma Straps 1107403 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

DBI Sala Harness 1107405 New in bag 10/16/2024 X

DBI Talon Sala 16' SRL 3101051 07997 10/16/2024 X

6' Double Laynard 1246022 New in bag 10/16/2024 X

Crossarm Strap 3' (three) 1003000 New in bag 10/16/2024 X

Carabiners (two) 1107403 10/16/2024 X

Trauma Straps 1107403 10/16/2024 X

BAG #2

BAG #3

BAG #4

Component Serial No. Serial No. Inspection Date Pass Fail Comments Inspector

3M/SALA Horizontal Cable

Connector Body S/N Clasp S/N

1 45408/154 45411/007 10/16/2024 X

2 45408/141 45411/317 10/16/2024 X

3 45408/247 45411/300 10/16/2024 X

4 45408/244 45411/180 10/16/2024 X

5 45408/237 45411/135 10/16/2024 X

6 45408/149 45411/026 10/16/2024 X

7 45408/191 45411/321 10/16/2024 X

8 45408/144 45411/179 10/16/2024 X

6' Double Laynard 1244406 14E2FDDB 10/16/2024 X

6' Double Lanyard 1246022 7E52E996 10/16/2024 X

6' Double Laynard 1246022 New in bag 10/16/2024 X 6' Single Lanyard 1246226 New in bag 10/16/2024 X Rope Grabs (2) 10/16/2024 X

Froment Cable Grab Ascord 081339 10/16/2024 X

3" Carabiners (two) 10/16/2024 X Unigrab Connector 0158 B04405 10/16/2024 X Unigrab Connector 0158 B04432 10/16/2024 X DBI Sala Talon 16' SRL 3101051 08010 10/16/2024 X DBI Sala Talon 16' SRL 3101051 07469 10/16/2024 X DBI Sala Double Lanyard 1246022 A8028F6 10/16/2024 X Crossarm Strap 3' 1003000 3821237 10/16/2024 X DBI Sala Harness 1107403 50236DF9 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector HySafe Harness FS5450AO 1126404 10/16/2024 X DBI Vest Harness 1111579 A6C0B37 10/16/2024 X DBI Vest Harness 1107403 50245382 10/16/2024 X Unigrab Connector 0158 B04181 10/16/2024 X DBI Sala Double Lanyard 1246022 9AE1027 10/16/2024 X Crossarm Strap 3' 1003000 New in bag 3821237 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector HySafe Harness FS5450AO 1126408 10/16/2024 X 6' Double Laynard 1246022 FE4123B 10/16/2024 X 6' Double Laynard 1245176 171947580 10/16/2024 X Crossarm Strap 3' 1003000 351106 10/16/2024 X 16 Foot Talon SRL 3101050 04441 10/16/2024 X Uniline Horizontal Connector

(3) 0158 B04181; B04432; B04405 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector DBI Sala Double Lanyard 1245176 172172133 10/16/2024 X 3M DBI-SALA ExoFit X300 113423 191673EE 10/16/2024 X

16' SRL 3101050 04439; 07789 10/16/2024 X

Unigrab Connector Uniline 0158 B04321 10/16/2024 X Crossarm Strap 3' 10030000 346815 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector 3M DBI-SALA ExoFit X300 113423 16C25E60 10/16/2024 X 6' Double Laynard 1246022 9AE4DC5 10/16/2024 X Uni 8 Unigrab Connector 0158 B04405 10/16/2024 X

16' SRL 3101051 08006 10/16/2024 X

Crossarm Strap 3' (two) 1003000 350090; 351131 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector DBI Sala Double Lanyard 1246022 F65B3F3 10/16/2024 X DBI Sala Harness 1107405 50AB8E50 10/16/2024 X HySafe Harness 5250 0160 10/16/2024 X Crossarm Strap 3' 1003000 351120 10/16/2024 X

16' SRL 3101050 04440 10/16/2024 X

FALL PROTECTION INSPECTION

DOJ FBI CJIS - 1000 Custer Hollow Road, Clarksbueg, WV

Recertification of CJIS Fall Protection Systems

Bag (Carpenter)

BAG - Orange North Face

BAG (Paint Med in faded writing)

BAG - Red (Paint Shop written on bag)

BAG - (Paint Shop Maintenance Mechanics written on it)

Bag (Carpenter Shop)

Uniline Unigrab A01554 10/16/2024 X

DBI Sala Harness 1107404 170433142 10/16/2024 X 6' Double Laynard 1246022 9ACF210 10/16/2024 X Uniline Unigrab (2) B04565; B04321 10/16/2024 X Crossarm Strap 3' 1003000 346814 10/16/2024 X Carabiners 3" 10/16/2024 X Trauma Straps 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector HySafe Harness FS5450AO 1126408 10/16/2024 X 6' Double Laynard 1246022 FE4123B 10/16/2024 X 6' Double Laynard 1245176 171947580 10/16/2024 X Crossarm Strap 3' 1003000 351106 10/16/2024 X 16 Foot Talon SRL 3101050 04441 10/16/2024 X Uniline Horizontal Connector

(3) 0158 B04181; B04181; B04405 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector DBI Sala Double Lanyard FS5450A0 1126406 10/16/2024 X 3" Carabiners (two) 10/16/2024 X Uni 8 Unigrab Connector B04482 10/16/2024 X

DBI Sala Double Lanyard 1246022 171614530 10/16/2024 X Took 1245176 O.O.S. & replaced with this one

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector 3" Carabiner 10/16/2024 X Crossarm Strap 3' 1003000 346997 10/16/2024 X DBI Sala Talon 16' SRL 3101051 24983 10/16/2024 X 6' Double Lanyard 1246022 A864302 10/16/2024 X DBI Vest Harness 1107405 83CE196 10/16/2024 X Hy-Safe Unigrab Connector A01995 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector DBI Sala Double Lanyard 1246022 009AEDC5 10/23/2023 X 3M Protecta 6' SRL 3100403 0513342 10/23/2023 X DBI Sala Double Lanyard 1246022 09AE1027 10/23/2023 X DBI Sala Harness 1107405 50AB8E50 10/23/2023 X Vest Harness (XL) 1111581 A865D05 10/23/2023 X

Orange North Face Bags (sitting on floor next to lockers)

Loose Components

Orange North Face Bags (sitting on floor next to lockers)

BAG - Red

BAG - Orange North Face

Rodavich

Component Model No. Serial No.

Inspection

Date Pass Fail Comments Inspector

Harness - Eagle Tower 66613 0008 16.19.05 10/16/2024 X

Harness Belt 01313 S/N: 05/19/16 10/16/2024 X

Flex No Pac EA - Double rebar hook 35488 New in bag 10/16/2024 X

3" Carabiner 10/16/2024 X New in bag

Pelican Caribiner 8" 17426 10/16/2024 X New in bag

6' Single Lanyard 1246226 F26FE02 10/16/2024 X

Elk River Lanyard 1" x 6' 26006 10/16/2024 X

Elk River Lanyard 1" x 3' 29023 10/16/2024 X

Positioning Rope Lanyard 1/2' x 4' 28014 16.07.13 0016 10/16/2024 X

Weather Holt

Component Model No. Serial No.

Inspection

Date Pass Fail Comments Inspector

Harness - Eagle Tower CSA Class A 66644 0002 16.28.11 10/16/2024 X Brand new

Harness Belt 01314 0002 05/19/16 10/16/2024 X

Elk River Flex No Pac Lanyard 1.5" 34588 New in bag 10/16/2024 X

Elk River Positioning Lanyard 1"x6' 26006 New in bag 10/16/2024 X New in bag

Elk River Positioning Rope Lanyard 1/2"x4' 28014 N.I.B. 16.07.13 004 10/16/2024 X New in bag

Elk River Positioning Web Lanyard 1'x3' 29023 17426 10/16/2024 X

Carabiners - (two): 8" & 3" 10/16/2024 X New in bag

DBI Sala Double Rebar Hook Lanyard 1220416 2441049 10/16/2024 X

Pundsack

Component Model No. Serial No.

Inspection

Date Pass Fail Comments Inspector

Eagle River Eagle Lite Harness 62313 0002 09.01.06 10/16/2024 X

Elk River Positioning Lanyard 6' 1231106 131A3A6B 10/16/2024 X

Elk River Positioning Lanyard 6' 1231106 178717BAE 10/16/2024 X

Elk River Positioning Web Lanyard 1'x3' FSL3103 34471 10/16/2024 X

DBI Sala Double Rebar Hook Lanyard 35478 09.03.26 0060 10/16/2024 X

16' SRL 3101051 04581 10/16/2024 X

3M Cable Slide 10/16/2024 X

- Top Gate 45411/122 10/16/2024 X

- Body 45408/178 10/16/2024 X

8" Carabiner 10/16/2024 X

3" Carabiner 10/16/2024 X

DBI Sala Double Lanyard 1246022 FDDC848 10/16/2024 X

DBI Sala Double Lanyard 1246022 FDDC846 10/16/2024 X

Yancy Everson

Component Model No. Serial No.

Inspection

Date Pass Fail Comments Inspector

DBI Vest Harness 1107405 10/16/2024 X

16' SRL 3101051 07247 10/16/2024 X

3M Cable Slide 10/16/2024 X

7241420

7241420

BUILDING 9

FALL PROTECTION INSPECTION

- Top Gate 45411/335 10/16/2024 X

- Body 45408/224 10/16/2024 X

Elk River Positioning Lanyard 6' 1231106 131FA400 10/16/2024 X

Elk River Positioning Lanyard 6' 1231106 13832441 10/16/2024 X

Elk River Lanyard 6' 1244306 20878CCC 10/16/2024 X

Gerken

Component Model No. Serial No.

Inspection

Date Pass Fail Comments Inspector

6 Single leg lanyard' 1246226 F546894 10/16/2024 X

Petzel Paw Selstrom 6' 87432 022013 10/16/2024 X

Positioning Lanyard 5' 07431 New in bag 10/16/2024 X Brand new

Pinnacle Tower Harness 68603 0007 08.07.24 10/16/2024 X

Pinnacle Tower Belt 01313 08.07.25 0041 10/16/2024 X

Petzel Paw 11369 1166 10/16/2024 X

Cable Grab FD C300 07C 10/16/2024 X Hy-Safe Unigrab Connector A02993 10/16/2024 X

8" Carabiner (two) 10/16/2024 X

6" Carabiner 10/16/2024 X 25' Rope (two) 10/16/2024 X

LOOSE ITEM (Shaver)

Component Model No. Serial No.

Inspection

Date Pass Fail Comments Inspector

Seat Harness DBI-SALA ExoFit XP 1110301 104062 10/16/2024 X

DBI 6' Positioning Lanyard 1201106 2681719 10/16/2024 X

Component Model No. Serial No.

Inspection

Date Pass Fail Comments Inspector Pinnacle Tower Harness 68603 0007 08.07.24 10/16/2024 X

6-Foot Double Lanyard 1220416 1971343 10/16/2024 X 6-Foot Single Lanyard 1201106 1936780 10/16/2024 X

6-Foot Single Lanyard 1201106 1952081 10/16/2024 X

Tripod 7275 4840799 10/16/2024 X 200-Foot Rope 10/16/2024 X 200-Foot Rope 10/16/2024 X

100-Foot Rope 10/16/2024 X

Lineman's Items - IN AUTOMOTIVE RADIO SHOP

7241420

Water Tank Vertical Ladder 10/16/2024 X Components pass inspection

Cable Grab

SBI-SALA LAD-SAFX3 10/16/2024 X Components pass inspection

Ladder in top of tank 10/16/2024 X Components pass inspection

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

Ladder Cable Grab

SBI-SALA LAD-SAFX3 6160054 45152 10/16/2024 X

Ladder Cable Grab

SBI-SALA LAD-SAFX4 6160055 45093 10/16/2024 X

MSA Rescue Winch 10158178 10/16/2024 X

Delta Harness 1102010 0DEF7B4D 10/16/2024 X

Delta Harness 1102010 0DAB3851 10/16/2024 X

Protecta 6' Double-leg Lanyard 1340161 592045 10/16/2024 X

Protecta 6' Double-leg Lanyard 1340161 592089 10/16/2024 X Crossarm Strap 3' 1003000 4176165 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

3M Horizontal Roof Rail System N414 5MBS Carriage 7241006 10/16/2024 X

Two (2) Wing Anchors no legible markings 10/16/2024 X See note in report

3M DBI-SALA ExoFit X300 113423 197D7CC6 10/16/2024 X

3M DBI-SALA ExoFit X300 113424 1645B906 10/16/2024 X

3M DBI-SALA ExoFit X300 113424 15736173 10/16/2024 X

3M DBI-SALA ExoFit X300 113423 1974OC93 10/16/2024 X 6' Straight Lanyard 1246266 125356322 10/16/2024 X

WATER TANK

WATER TANK TREATMENT LAB

AUDITORIUM

FALL PROTECTION INSPECTION

6' Straight Lanyard 1246266 12533846 10/16/2024 X

3M Cable Slide 7241420 45408/219 10/16/2024 X 3M Cable Slide 7241420 45408/217 10/16/2024 X Honeywell Soll-Vigo Vertical

Cable System for Ladder 10/16/2024 Inspected wire rope and slide/grab device.

3M DBI-SALA ExoFit X300 113424 1CO868A5 10/16/2024 X

3M DBI-SALA ExoFit X300 113423 1AE8D29A 10/16/2024 X

3M DBI-SALA ExoFit X300 113422 1BAB7B16 10/16/2024 X

25-foot SRL FS2125C E20304-035 10/16/2024 X

Component Model No. Serial No. Inspection Date Pass Fail Comments Inspector

3M DBI-SALA ExoFit X300 113424 17B53FF4 10/16/2024 X

3M DBI-SALA ExoFit X300 113424 1987A53D 10/16/2024 X

3M DBI-SALA ExoFit X300 113423 194DB539 10/16/2024 X

3M DBI-SALA ExoFit X300 113423 1987BF4F 10/16/2024 X

3M DBI-SALA ExoFit X300 113422 19163DBB 10/16/2024 X

3M DBI-SALA ExoFit X300 113422 1949DEDC 10/16/2024 X

50' Self-Retracting Lifeline 10/16/2024 X

50' Self-Retracting Lifeline 10/16/2024 X

AUDITORIUM - on the right side of stage

CHILDCARE CENTER