INSPECTION FORM: Full Body Harness

OSHA 1926.502(d)(21) 1 HARDWARE 2

Personal fall arrest systems SHALL be inspected prior to each use LOOK AT: WEBBING
for wear, damage, and other deterioration, and defective 3 STITCHING 4
components SHALL be removed from service.
LABELS/
TAGS
6.1 Inspection
6.1.1 Equipment SHALL be inspected by the user before each use
and, additionally, by a competent person other than the user at
intervals of no more than one year.
1 HARDWARE R T
Rust/ corrosion

Defor med/bent

Burrs /cracks
Frequency of inspection in the following categories:
Weld spots/slag
General Industry: _______________ Construction: _______________
Missi ng rivets
Your Organization: ______________ Manufacturer: ______________
Sprin gs

Manufacturer of equipment: Funct ionality

Name of Manufacturer: Other

______________________________________ Serial #:
_______________________ Model #: ___________________ Date of 2 WEBBING R T
Manufacture: ____ /____ /____ Cuts/ urns/holes
b

Inspection: Exces sive wear

Exces sive UV damage

Date: ____ /____ /____
Chem ical attack
Name of competent person:
Other
____________________________________________________________

Name of user ( authorized person) :

____________________________________________________________ 3 STITCHING R T
Missing

Loose

Broken

Other

4 LABELS/ TAGS R T
Missing

Illegible

Dates

Other
R PASS FAIL