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  • Initial Inspection Form Harness

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    Alejandro Silva Valencia
    4 views2 pages
    This document contains inspection forms for harnesses and lanyards used for fall protection. The forms include sections to record inspection results for labels/markings, webbing/straps, stitching, hardware, connectors, shock packs, and materials. Inspectors check for damage, wear, chemical contamination, proper storage, and other factors and indicate whether each item passes or fails inspection. The inspector signs and dates each completed form.

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    Initial Inspection Form Harness

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    This document contains inspection forms for harnesses and lanyards used for fall protection. The forms include sections to record inspection results for labels/markings, webbing/straps, stitching, hardware, connectors, shock packs, and materials. Inspectors check for damage, wear, chemical contamination, proper storage, and other factors and indicate whether each item passes or fails inspection. The inspector signs and dates each completed form.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views2 pages

    Initial Inspection Form Harness

    Uploaded by

    Alejandro Silva Valencia
    This document contains inspection forms for harnesses and lanyards used for fall protection. The forms include sections to record inspection results for labels/markings, webbing/straps, stitching, hardware, connectors, shock packs, and materials. Inspectors check for damage, wear, chemical contamination, proper storage, and other factors and indicate whether each item passes or fails inspection. The inspector signs and dates each completed form.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    INITIAL INSPECTION FORMS

    HARNESS
    Date of Inspection:

    Company Name:

    Serial Number:

    Last inspection (1-3 weeks/1-3


    months/more than 1 year/ago

    LABELS & MARKINGS Pass Fail


    Are the labels intact and legible?
    Is the day of manufacture valid?
    Are the ANSI/OSHA/CSA markings
    visible?
    Was properly stored in a clean dry
    area away from fumes, excessive
    heat, sunlight, or corrosive
    conditions?
    WEBBING Pass Fail
    Are shoulder/chest/leg/back straps
    intact?
    Are cuts/burns/holes present?
    Is paint contamination present?
    Any Signs of excessive wear?
    Any signs of heat/UV damage?
    STITCHING Pass Fail
    Are shoulder/chest/leg/back straps
    intact?
    HARDWARE (BUCKLES AND D-RINGS) Pass Fail
    Are shoulders adjustment buckles
    damage free?
    Is leg and waist buckles/other
    hardware damage free?
    Is D Rings (dorsal, side, shoulder
    or sternal damage free?
    There is no corrosion/pitting/nicks?

    Inspector Name: Signature:


    LANYARD
    Date of Inspection:

    Company Name:

    Serial Number:

    Last inspection (1-3 weeks/1-3


    months/more than 1 year/ago

    LABELS & MARKINGS Pass Fail


    Are the labels intact and legible?
    Is the day of manufacture valid? CONNECTORS Pass Fail
    Are the ANSI/OSHA/CSA markings
    visible?
    Was properly stored in a clean dry
    area away from fumes, excessive
    heat, sunlight, or corrosive
    conditions?
    Does connector self-close & lock?
    Are hook gate/rivets intact?
    Is connector free of corrosion?
    Is connector free of pitting &
    nicks?
    SHOCK PACK Pass Fail
    Is the cover on shrink tube is not
    cut or removed?
    The shock pack is not cut or
    removed There is no
    damage/fraying/broken stitching?
    Impact indicator shows no signs of
    deployment?
    Is the cover on shrink tube is not
    cut or removed?
    MATERIAL (WEB OR CABLE) Pass Fail
    Is there any broken/missing/loose
    stitching?
    Check termination stitching and
    splices
    Is webbing length proper length?
    Are there cuts/burns/holes?
    Is there any chemical or paint
    damage?
    Does cable show excessive wear?

    Inspector Name: Signature:

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