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INSPECTION FORM: Full Body Harness

LOOK AT: 1 HARDWARE 2 WEBBING


OSHA 1926.502(d)(21)
Personal fall arrest systems SHALL be inspected prior to each 3 STITCHING 4 LABELS/TAGS
use for wear, damage, and other deterioration, and defective
components SHALL be removed from service.
1 HARDWARE R T
6.1 Inspection
6.1.1 Equipment SHALL be inspected by the user before each Rust/corrosion
use and, additionally, by a competent person other than the
user at intervals of no more than one year. Deformed/bent

Burrs/cracks
Frequency of inspection in the following categories: Weld spots/slag
General Industry: _______________ Construction:________________ Missing rivets
Your Organization:_______________ Manufacturer:_______________ Springs

Functionality
Manufacturer of equipment:
Other
Name of Manufacturer: _______________________________________

Serial #:________________________ Model #:____________________

Date of Manufacture: ____ /____ /____


2 WEBBING R T
Cuts/burns/holes
Inspection:
Excessive wear
Date: ____ /____ /____
Excessive UV damage

Name of competent person: Chemical attack

____________________________________________________________ Other

Name of user (authorized person):


____________________________________________________________
3 STITCHING R T
Missing

Loose

Broken

Other

4 LABELS/TAGS R T
Missing

Illegible

Dates

Other

R PASS T FAIL

*See user instruction manual for complete inspection procedures and requirements.

© 2023 FallTech 1306 S. Alameda St. Compton, CA 90221 800-719-4619 www.falltech.com


03/2023

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