Full Body Harness Inspection - Checklist Sample

Model or Part Number: _

Serial Number: Date of Manufacture: _

O Inspect Only O Inspect and Clean O Send for Repair

Webbing O Pass O Fail

O Cuts D Requires Cleaning O Abraded O Burned
D Chemical Damaged O Excessive Heat O Overall Deterioration
O Other
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Stitching O Pass D Fail
O Cuts O Broken O Burned O Missing O Pulled
D Other
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Rivets O Pass O Fail O NIA
D Loose O Missing O Damaged O Corroded
DOther _

Dee Ring Hardware O Pass D Fail

O Cracked O Bent O Elongated O Corroded O Sharp Edges
D Other
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Buckles D Pass O Fail
D Cracked O Bent O Elongated O Corroded O Sharp Edges O Function
O Other
--------------
Gronunets D Pass O Fail O NIA
O Loose O Missing O Damaged O Corroded

Plastic Dee Shim O Pass O Fail

Keepers O Pass O Fail
Labels O Pass O Fail

Failure of the inspection process or alteration of any component indicates the

entire unit must be removed from service.

O Remove from service O Destroy O Re inspect by manufacturer

Date: Inspected By: _

02/17/02 Page 35 of 51
Fundamentals of Fall Protection Equipment Inspection