Full Body Harnesses

Harness Model: ________________________________________________ Manufacture Date: _________________________

Serial Number: ______________________ Lot Number: _______________ Purchase Date: ____________________________

Comments: _____________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

ACCEPTED/
GENERAL FACTORS REJECTED SUPPORTIVE DETAILS OR COMMENTS

1. Hardware: (Includes D-rings, buckles,

ACCEPTED
keepers, and back pads) Inspect for dam-
age, distortion, sharp edges, burrs, cracks
REJECTED
and corrosion.
2. Webbing: Inspect for cuts, burns, tears, ACCEPTED
abrasion, frays, excessive soiling and dis-
coloration. REJECTED

3. Stitching: Inspect for pulled or cut ACCEPTED

stitches.
REJECTED

4. Labels: Inspect, make certain all labels are ACCEPTED

securely held in place and legible.
REJECTED

ACCEPTED

REJECTED

ACCEPTED

REJECTED

ACCEPTED

REJECTED

ACCEPTED
INSPECTED BY: _____________________________________________
Overall Disposition
REJECTED
DATE INSPECTED: __________________________________________
Lanyards
Lanyard Model: ________________________________________________ Manufacture Date: _________________________

Serial Number: ______________________ Lot Number: _______________ Purchase Date: ____________________________

Comments: _____________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

ACCEPTED/
GENERAL FACTORS SUPPORTIVE DETAILS OR COMMENTS
REJECTED
1. Hardware: (Includes snap hooks,
carabiners, adjusters, keepers, thimbles ACCEPTED
and D-rings). Inspect for damage,
distortion, sharp edges, burrs, cracks, REJECTED
corrosion and proper operation.
2. Webbing: Inspect for cuts, burns, tears, ACCEPTED
abrasion, frays, excessive soiling and
discoloration. REJECTED
3. Stitching: Inspect for pulled or cut ACCEPTED
stitches.
REJECTED
4. Strap: Inspect for pulled or cut ACCEPTED
yarns, burns, abrasion, knots, excessive
soiling and discoloration. REJECTED

5. Wire Rope: Inspect for broken wires, ACCEPTED

corrosion, kinks and separation of strands.
REJECTED

6. Energy Absorbing Component: Inspect ACCEPTED

for elongation, tears and excessive soiling.
REJECTED
7. Labels: Inspect, make certain all labels are ACCEPTED
securely held in place and legible.
REJECTED

ACCEPTED
INSPECTED BY: _____________________________________________
Overall Disposition
REJECTED
DATE INSPECTED: __________________________________________

2
Hooks/Carabiners
Hook/Carabiner Model: _________________________________________ Manufacture Date: _________________________

Serial Number: ______________________ Lot Number: _______________ Purchase Date: ____________________________

Comments: _____________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

ACCEPTED/
GENERAL FACTORS REJECTED SUPPORTIVE DETAILS OR COMMENTS
1. Physical Damage: Inspect for cracks, ACCEPTED
sharp edges, burrs, deformities and locking
operation. REJECTED
2. Excessive Corrosion: Inspect for ACCEPTED
corrosion which effects the operation
and/or strength. REJECTED
3. Markings: Inspect, make sure certain ACCEPTED
marking(s) are legible.
REJECTED

ACCEPTED

REJECTED

ACCEPTED

REJECTED

ACCEPTED

REJECTED

ACCEPTED

REJECTED

ACCEPTED
Overall Disposition INSPECTED BY: _____________________________________________
REJECTED DATE INSPECTED: __________________________________________

3
Inspection Checklist/Log
______________ Model: _________________________________________ Manufacture Date: _________________________

Serial Number: ______________________ Lot Number: _______________ Purchase Date: ____________________________

Comments: _____________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

GENERAL FACTORS ACCEPTED/ SUPPORTIVE DETAILS OR COMMENTS

REJECTED
1. ACCEPTED

REJECTED

2. ACCEPTED

REJECTED

3. ACCEPTED

REJECTED
4. ACCEPTED

REJECTED

5. ACCEPTED

REJECTED

6. ACCEPTED

REJECTED
7. ACCEPTED

REJECTED

ACCEPTED
INSPECTED BY: _____________________________________________
Overall Disposition
REJECTED DATE INSPECTED: __________________________________________
Inspection Checklist/Log
______________ Model: _________________________________________ Manufacture Date: _________________________

Serial Number: ______________________ Lot Number: _______________ Purchase Date: ____________________________

Comments: _____________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

GENERAL FACTORS ACCEPTED/ SUPPORTIVE DETAILS OR COMMENTS

REJECTED
1.

2.

3.

4.

5.

6.

7.

INSPECTED BY: _____________________________________________

Overall Disposition
DATE INSPECTED: __________________________________________
 DATE INSPECTION INSPECTED INSPECTION INSPECTED INSPECTION INSPECTED
SERIAL # MODEL # DESCRIPTION PASS FAIL PASS FAIL PASS FAIL COMMENTS
OF MFG. DATE BY DATE BY DATE BY

Green: Pass, Safe for Use Red: Remove from Service - Send to Manufacturer for Inspection/Servicing Black: Destroy Immediately