This inspection form is used to document the condition of a safety harness. It includes sections to record whether the labels and markings, webbing, stitching, and hardware (buckles and D-rings) of the harness pass or fail different inspection criteria. Any issues identified during the inspection would be noted. The inspector and dates of inspection and first use are documented. The form is then signed and dated by the inspector upon completion.
This inspection form is used to document the condition of a safety harness. It includes sections to record whether the labels and markings, webbing, stitching, and hardware (buckles and D-rings) of the harness pass or fail different inspection criteria. Any issues identified during the inspection would be noted. The inspector and dates of inspection and first use are documented. The form is then signed and dated by the inspector upon completion.
This inspection form is used to document the condition of a safety harness. It includes sections to record whether the labels and markings, webbing, stitching, and hardware (buckles and D-rings) of the harness pass or fail different inspection criteria. Any issues identified during the inspection would be noted. The inspector and dates of inspection and first use are documented. The form is then signed and dated by the inspector upon completion.
HARNESS Serial # Owner/Company: Date of First Use: Inspector: Date of Manufacture: Date of Inspection:
LABELS & MARKINGS Pass Fail
Are labels intact & legible?
Are appropriate ANSI/OSHA/CSA markings visible? Shoulder Straps
Are inspections current/up-to-date? Chest Strap
Is date of first use documented? Adjustment Buckles WEBBING Pass Fail
Are shoulder/chest/leg/back straps Side D-Rings
intact? Are cuts/burns/holes present? Is paint contamination present? Waist Belt Leg Straps Any signs of excessive wear? Any signs of heat/UV damage? STITCHING Pass Fail
Are shoulder/chest/leg/back straps Dorsal D-Ring
intact? HARDWARE (BUCKLES & D-RINGS) Pass Fail
Are shoulder adjustment buckles damage
free? Is leg & waist buckles/other hardware Labels damage free? Is D-Rings (Dorsal, Side, Shoulder, or Back Strap Sternal) damage free? There is no corrosion/pitting/nicks? Impact Indicators