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MONTHLY VERA-LIFT™ BACK BELT AND SITTING SLING INSPECTION CHECKLIST
INSTRUCTIONS:
All back belts and sitting slings in the facility must be checked monthly. Back belts and sitting slings that are damaged or
excessively worn must be removed from service and replaced with undamaged back belts or sitting slings.
Check each blank as that item is inspected. Note the date inspected, initials of the nurse or professional rehabilitation department staff member
who performed the inspection, and action taken, if any, in the "CORRECTIVE ACTION" column.
YEAR
JAN
Total number of back
belts.
Total number of
sitting slings.
Does safety belt
Velcro or plastic
connector fasten
securely?
Is loose and/or
missing stitching
present?
Are tears present?
Is excessive wear
present?
Is color fading on
stabilizing handles? *
Is the padding inside
the leg straps
smooth?**
*If the color is fading on the stabilizing handles, this indicates the sling is being laundered with bleach. The back belt or sitting sling must be removed from
service immediately and discarded as bleach weakens the fabric and stitching.
**If the padding inside the leg straps is bunched (no longer smooth), this indicates the sling has been dried in a hot dryer. The sling must be removed from
service immediately and discarded as too much heat can damage the sling.
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
CORRECTIVE ACTION
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