CHECK LIST FOR SAFETY BELT

1.2m
6
4 9
2 5 8

3
1

Contractor Name Document No Date:

-
7 9
1 2 3 4 5 6 8
No
inspect
damage in the
harness webbing for
Check for damage due following element--
Harness is full body Safety harness is cuts, tears, burns and
Harness is ISI No damage in the Hook in the lanyard is to contact with heat, 1. Brace.
Safety with double lanyard ( Lanyard length is not made of Polyester abrasion damage
Sl. No. certified and tested lanyard and lanyard in working condition paint, solvents or corros 2.Secondary Strap.
Belt No. separate lanyard fixed more than 1.2m with polyamide Fiber especially where
by manufacturer. joints. and with out damage ives 3. Under bottom strap.
in D-ring) rope there is contact with
4.Thight strap.
hardware
5.Tightening element.
6.Coupling element

NAME SIGNATURE DATE

Checked by contractor Safety in charge