Safety Harness Pre-Use Inspection Checklist By individual user Date (M/D/Y ) :

FIELD INSPECTION CHECKLIST FOR SAFETY HARNESS

Safety Harness Serial Number SN# SN# SN#

Condition Defects Condition Defects Condition Defects Remarks

Chest Strap with pass through adjuster buckle
Equipment Front
Fall Protection

Identification and wearer's Instruction lable

Specify Safety Harness Serial number

Side D - rings for restraint or positioning
leg Strap adjuster buckles
leg Strap
Back D- ring for fall arrest
Back pad
Equipment Back

or Remarks
Fall Protection

Slotted hip pad

Sub - Pelvic strap for added support
Suspension trauma strap
Connector shock absorber double lanyard
Safety Harness Serial Number SN# SN# SN#
Condition Defects Condition Defects Condition Defects Remarks
Chest Strap with pass through adjuster buckle
Equipment Front
Fall Protection

Identification and wearer's Instruction lable

Specify Safety Harness Serial number

Side D - rings for restraint or positioning
leg Strap adjuster buckles
leg Strap

or Remarks
Back D- ring for fall arrest
Back pad
Equipment Back
Fall Protection

Slotted hip pad

Sub - Pelvic strap for added support
Suspension trauma strap
Connector shock absorber double lanyard
Remarks

Saudi Aramco Company General Use

Safety harness Inspection Checklist Date (M/D/Y ) :
INSPECTED BY : (Signature) Print name : Badge # :
FIELD INSPECTION CHECKLIST FOR SAFETY HARNESS
Safety Harness Serial Number SN# SN# SN#
Condition Defects Condition Defects Condition Defects
Chest Strap with pass through adjuster buckle
Fall Protection

Identification and wearer's Instruction lable

Equipment
Front
Remarks
 Safety Harness Inspection Checklist Date (M/D/Y ) :
INSPECTED BY : (Signature) Print name : Badge # :

FIELD INSPECTION CHECKLIST FOR SAFETY HARNESS

Safety Harness Serial Number SN# SN# SN#
Condition Defects Condition Defects Condition Defects Remarks
Chest Strap with pass through adjuster buckle
Equipment Front
Fall Protection

Identification and wearer's Instruction lable

Specify Safety Harness Serial number

Side D - rings for restraint or positioning
leg Strap adjuster buckles
leg Strap
Back D- ring for fall arrest
Back pad
Equipment Back

or Remarks
Fall Protection

Slotted hip pad

Sub - Pelvic strap for added support
Suspension trauma strap
Connector shock absorber double lanyard
Safety Harness Serial Number SN# SN# SN#
Condition Defects Condition Defects Condition Defects Remarks
Chest Strap with pass through adjuster buckle
Equipment Front
Fall Protection

Identification and wearer's Instruction lable

Specify Safety Harness Serial number

Side D - rings for restraint or positioning
leg Strap adjuster buckles
leg Strap

or Remarks
Back D- ring for fall arrest
Back pad
Equipment Back
Fall Protection

Slotted hip pad

Sub - Pelvic strap for added support
Suspension trauma strap
 Equipment Back

Specify Safety Ha
or
Fall Protection
Connector shock absorber double lanyard
Remarks

Saudi Aramco Company General Use