SAFETY BELT INSPECTION CHECKLIST
Contractor Name Safety Belt No Make of safety belt Date of Inspection
SL NO CHECK ITEM PHOTOS Y/N SL NO CHECK ITEMS PHOTOS Y/N
Inspect harness webbing
Harness is full for cuts, tears, burns
body with double and abrasion damage
1 lanyard ( separate 7 especially where No Image
lanyard fixed in D- there is contact with
ring) hardware
Check for damage due to
contact with heat,
Lanyard length is No Image
2 8 paint, solvents or corrosi
not more than 1.2m
ves
Safety harness is
made of Polyester No damage in the
3 9
with polyamide following element--
Fibre rope 1. Brace.
[Link] Strap.
3. Under bottom strap.
[Link] strap.
Harness is ISI [Link] element.
4 certified and tested 10 [Link] element
by manufacturer.
No damage in the
5 lanyard and
lanyard joints.
Hook in the lanyard
is in working
6
condition and
without damage
NAME SIGNATURE DATE
Checked by contractor Safety in charge