1ServCo Harness + Safety Climbing Equipment Inspection

• Name of User

• Conducted on

  Date

• Inspected by

• Date of last inspection?

  Date

• Who is the manufacturer of the harness?

• What is the date of manufacture?

• What is the harness serial number?

• What date was the harness first used?

• Who is the manufacturer of the lanyard?

• What is the date of manufacture?

• What is the lanyard serial number?

• What date was the lanyard first used?

• Who is the manufacturer of the working belt?

• What is the date of manufacture?

• What is the working belt serial number?

• What date was the working belt first used?

• Are all serial numbers eligible and on all equipment?

  Compliant

  Non-Compliant

  N/A

• Which piece of equipment is the serial number(s) ineligible?

Metal Fittings

• Is there any surface cracking visible?

  Yes

  No

  N/A

• Is there any damage or deformation to fittings?

  Yes

  No

  N/A

• Is there any signs of stress or stretching to fittings?

  Yes

  No

  N/A

• Is there any signs of gouges or scratches?

  Yes

  No

  N/A

• Is there any signs of corrosion or chemical damage?

  Yes

  No

  N/A

Webbing

• Are there any signs of cuts (no greater than 1mm deep?)

  Yes

  No

  N/A

• Are there any signs of wear/surface abrasion?

  Yes

  No

  N/A

• Are there any signs of damage to the stitching?

  Yes

  No

  N/A

• Are there any signs of UV degradation or heat damage?

  Yes

  No

  N/A

• Are there any signs of chemical damage or surface contamination?

  Yes

  No

  N/A

Other

• Any further observations?

• Have all pieces of safety climbing equipment been tagged? Showing serial number and date of next inspection due?

  Compliant

  Non-Compliant

  N/A

• Is the inspection a pass or fail?

  Pass

  Fail

  N/A

• What is the reason for inspection fail?