Life Jacket Inspection Checklist
Complete this checklist to assess the condition, availability, and readiness of life jackets during safety inspections.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Location/Area
*
Life Jacket Identifier (Serial/ID Number)
*
Life Jacket Type/Size
*
Please Select
Adult Universal
Adult Oversize
Youth
Child
Infant
Throwable Device
Other
Quantity Inspected
*
Condition Checks (Select all that apply)
*
Flotation material is intact
Straps are secure and undamaged
Zippers operate smoothly
Buckles fasten properly
Inflation mechanism (if applicable) functional
Reflective tape present and visible
Are there any visible damages or defects?
*
No visible damage
Minor wear (does not affect function)
Significant damage (requires replacement/repair)
Cleanliness
*
Clean and free of contaminants
Minor dirt (easily cleaned)
Dirty (requires cleaning before use)
Storage Condition
*
Properly stored (dry, accessible, not compressed)
Improperly stored (damp, obstructed, compressed)
Is replacement or corrective action needed?
*
No action needed
Repair required
Replace life jacket
Overall Inspection Result
*
Pass
Fail
Additional Notes or Comments
Submit Inspection
Should be Empty: