Life Jacket Safety Inspection Form
Record all required details for each life jacket safety inspection. Please complete all fields accurately.
Inspector Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Location / Vessel or Equipment Identifier
*
Life Jacket Type
*
Please Select
Type I – Offshore Life Jacket
Type II – Near-Shore Buoyant Vest
Type III – Flotation Aid
Type IV – Throwable Device
Type V – Special Use Device
Other
Overall Life Jacket Condition
*
Good (No visible damage)
Minor Wear (Cosmetic only)
Needs Repair
Unserviceable/Replace
Required Safety Features Present and Functional
*
Straps/buckles secure & intact
No rips, tears, or holes
Buoyancy material not hardened or compressed
Reflective tape present & intact
Whistle attached (if required)
Other
Inspection Outcome
*
Pass
Fail – Remove from Service
Fail – Repair Required
Notes (optional)
Follow-up Action Required if Defects Found
Submit Inspection
Should be Empty: