Rescue Equipment Inspection Checklist Form
Complete this checklist to document the routine inspection of rescue equipment and ensure all items are in safe, working condition.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Equipment ID or Serial Number
*
Equipment Type
*
Please Select
Rope
Harness
Helmet
Carabiner
Rescue Bag
Other
Inspection Status
*
Pass
Fail
Overall Condition
*
Please Select
Excellent
Good
Fair
Poor
Noted Defects or Issues
Is Maintenance Required?
*
Yes
No
Follow-up Actions Needed
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: