WORKING AT HEIGHTS

OHS-PR-09-15-F02(A) SAFETY HARNESS ISSUING REGISTER

Operating Area: WOA Department: SEPDC

Project Name: SOUTH JEDDAH UG AND OHTL

Contract
Contractor Name: ALOJAIMI Project Type: OHTL 4400013353
No.:

Notes: Do not “tick”. Write Ok or use the code of the specific deviation in the legend. If the Equipment is defective it must be tagged “Defective” and must be reported to the person responsible for the repair of the equipment. If the
equipment is beyond repair it must be destroyed and discarded. New equipment to replace the discarded equipment must be obtained to discourage the use of make shift equipment.

LEGEND: OK – ALL IN GOOD CONDITION, ELM– EQUIPMENT LOST OF MISSING, REP – EQIPMENT BEING REPAIRED, C – COMMENTS
H1 Unsafe and deteriorated lanyard H9 Damaged synthetic rope
H2 Damaged D-ring H10 Deteriorating synthetic rope
H3 Damaged snap hook H11 Damaged or deteriorating shock absorbing lanyard
H4 Substandard Snap Hook H12 Elongation of the shock absorbing lanyard
H5 Damaged / corroded back pads H13 Torn or faded SWL labels
H6 Damaged Webbing H14 Expired Full Body Harness according to label
H7 Deteriorated / discolored webbing H15 Unsafe repair / modification of full body harness
H8 Cut or wearing of stitching H16 Substandard Full Body Harness
Name of Worker Company Trade Emp. No. Equip. ID No. Remarks Date Issued Signature Returned by(name) Date Returned: Remarks

OHS Forms Procedure Reference Revision Number Revision Date Approved By

SAFETY HARNESS ISSUING REGISTER OHS-PR-09-15-F02(A) 0 MAY 2021 OHSMS
 WORKING AT HEIGHTS
OHS-PR-09-15-F02(A) SAFETY HARNESS ISSUING REGISTER

Operating Area: WOA Department: SEPDC

Project Name: SOUTH JEDDAH UG AND OHTL

Contract
Contractor Name: ALOJAIMI Project Type: OHTL 4400013353
No.:

ID NO COMMENTS LOG

OHS Forms Procedure Reference Revision Number Revision Date Approved By

SAFETY HARNESS ISSUING REGISTER OHS-PR-09-15-F02(A) 0 MAY 2021 OHSMS