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Department

Harness Record
Condition
Harness Ser Department Date Supervisor or Status
Section (Serviceable/Unserviceable) Comments
No ID Manufactured Designated Person (In Service or Quarantine)

Total Serviceable
Total Unserviceable
Department
Fall Arrest/Fall Restraint Equipment Record
Condition
Lanyard Ser Department Date Supervisor or Status
Section (Serviceable/Unserviceable) Comments
No ID Manufactured Designated Person (In Service or Quarantine)

Total Serviceable
Total Unserviceable
Instructions: The department must complete separate section for each type of equipment.

Department Section
Karabiner/Retractable Reels/Anchor Points/Safety Lines/Strops
Condition
Lanyard Ser Department Date Supervisor or Status
Equipment (Serviceable/Unserviceable) Comments
No ID Manufactured Designated Person (In Service or Quarantine)

Strops

Total Serviceable
Total Unserviceable

Karabiner

Total Serviceable
Total Unserviceable

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