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MONTHLY VERA-LIFT™ BACK BELT AND SLING INSPECTION CHECKLIST
INSTRUCTIONS: All slings in the facility must be checked monthly. Slings that are damaged or excessively worn must be removed from
service and replaced with undamaged slings. Check each blank as that item is inspected. Note the date inspected, the 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?
On slings with safety
belts, does Velcro or
plastic connector fasten
securely?
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 or with a harsher detergent than is recommended. The sling must be
removed from service immediately and discarded as bleach or harsh detergent can weaken 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.
April 2013
For your nearest Distributor, call 1-800-694-4525
November 2017
FEB
MAR
APR
MAY
For your nearest distributor, call 1-800-694-4525
JUN
JUL
AUG
SEP
OCT
NOV
DEC
CORRECTIVE ACTION
30
30
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