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Fall Protection Harness Inspection Form

This inspection form documents the inspection of a safety harness. It lists the manufacturer, inspector, date of inspection, and date last serviced. It examines labels/tags, webbing, stitching, and hardware for defects like cuts, burns, holes, excessive wear, rust or corrosion that could compromise the safety harness' integrity. Any issues identified would cause the harness to fail inspection.

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Regina Vadilla
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321 views1 page

Fall Protection Harness Inspection Form

This inspection form documents the inspection of a safety harness. It lists the manufacturer, inspector, date of inspection, and date last serviced. It examines labels/tags, webbing, stitching, and hardware for defects like cuts, burns, holes, excessive wear, rust or corrosion that could compromise the safety harness' integrity. Any issues identified would cause the harness to fail inspection.

Uploaded by

Regina Vadilla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Fall Protection Inspection Form: Harness.

Manufacturer of equipment:
Name of Competent Person:
Name of Authorized Person:
Name of Authorized Inspector:

Industry:

Date of Inspection: Date of Service:

1 Labels/Tags Pass Fail Inspection Details:


Missing 1. Labels/Tags 3. Stitching
Dates 2. Webbing 4. Hardware
Illegible

2 Webbing Pass Fail


Excessive Wear
Cuts, Burns, Holes
Chemical residue
Excessive UV Damage
Other

3 Stitching Pass Fail


Loose
Missing
Broken
Other

4 Hardware Pass Fail


Cracks, Burs
Rust, Corrosion
Functionality
Missing Fasteners
Deformed
Slag, burns
Springs

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