PPE Inspection Form Harness

User Errigal Company Name JSP

Model FAR0302 Company Address N/A
Serial No. 1394 Unique ID SN
Year of Manufacture 2022 Comments: N/A
Date of First Use 2022 Date of Purchase 2022
Historical Check:
The results of this PPE inspection are provided to you subject to the condition that the components to
be inspected do not come into any of the categories listed below, any of which would require
systematic rejection of the component, namely:
− Component has undergone modifications or alteration outside the manufacturer’s production
units
− Component has received forces from a fall of factor 1 or more,
− Component has been used in temperatures of less than -40 degrees or greater than + 80 degrees
− Component has exceeded its lifetime.
The inspector accepts no responsibility in the case of omission or inaccuracy in the information
concerning the checking of the components history, which must be done by the client.

Visual check of safety components C G TM TR F

Condition of the webbing (cuts, wear, burns, marks, chemical X
contamination, other damage
Condition of the load bearing stitching (cut, worn, or pulled threads) X
Condition of the of the attachment points (deformation, marks, wear, X
corrosion)
Condition of the adjustment buckles (deformation, marks, wear, X
corrosion)
Condition and compatibility of the connector (See connector form) X
Condition of protective components (tubular protective cover of tie in X
point, thigh protection)
Check of comfort components C G TM TR F
Condition of the padding of the waist-belt & leg loops, jacket, spreader, X
gear loops etc)
Condition of non load bearing stitching X
Operational check C G TM TR F
Check that the webbing straps are properly threaded through the buckles. X
Verify the function of the spring in the FAST quick-connection buckles X
Operation of the adjustment buckles. X

C: Comments (See below) / G: Good / TM: To Monitor / TR: To Repair / F: Fail

Comments: ( Continue overleaf if necessary)

Verdict (Tick)
This product is fit to remain in service (Pass) X This product is unfit to remain in service (Fail)
Date of Inspection 15/05/2023 Date of next inspection 14/11/2023
Inspected by: Name Adrian Onac On behalf of (Company) Errigal
Signature