6 Monthly Inspection Safety Harness

• Contractor/s Name

• Date of Manufacture

  Date

• Date and Time of Inspection

  Date

• Inspected by

• Serial Number

• Equipment Description

• Please ensure this is emailed to enquiries@jt-group.co.nz

General Information

• Yes

  No

  N/A

• Description of work on which a safety harness will be used

• Take a photo of the equipment

  Media

Full Body Harnesses

• Does the legible tag identify the harness, model, date of manufacture, name of manufacturer, limitations and warnings

  Yes

  No

  N/A

• Please provide photo of the tag

  Media

• Nylon webbing is free of cuts, burn marks, and chemical damage

  Yes

  No

  N/A

• Webbing is free of tears, broken fibers, frayed edges, and pulled stitches

  Yes

  No

  N/A

• Harness webbing has no additional holes

  Yes

  No

  N/A

• D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges

  Yes

  No

  N/A

• D-rings pivot freely

  Yes

  No

  N/A

• Buckles are not deformed or cracked, and will operate correctly

  Yes

  No

  N/A

• All grommets are secure and not deformed

  Yes

  No

  N/A

• All rivets are tight and not deformed

  Yes

  No

  N/A

• Tongue/straps show no excessive wear from repeated buckling

  Yes

  No

  N/A

Snaphooks

• Snaphooks have no hook and eye distortions

  Yes

  No

  N/A

• Snaphooks have no cracks and pitted surfaces

  Yes

  No

  N/A

• Keeper latches are not be bent, distorted, or obstructed

  Yes

  No

  N/A

• Keeper latches seat into the nose without binding

  Yes

  No

  N/A

• Keeper springs securely close the keeper latches

  Yes

  No

  N/A

• Locking mechanism was tested to verify that keeper latches lock properly

  Yes

  No

  N/A

• All rivets are tight and not deformed

  Yes

  No

  N/A

• Tongue/straps show no excessive wear from repeated buckling

  Yes

  No

  N/A

Lanyard

• Type of Lanyard

  Select Shock-Absorbing Lanyard Self-Retracting Lanyards Positioning Lanyards

  • Shock-Absorbing Lanyard
  • Self-Retracting Lanyards
  • Positioning Lanyards

Shock-Absorbing Lanyard

• Nylon webbing is free of cuts, abrasions, burn marks, and chemical damage

  Yes

  No

  N/A

• Webbing is free of tears, broken fibers, frayed edges, and pulled stitches

  Yes

  No

  N/A

• Wire rope lanyard is free of cuts, frayed areas, and unusual wearing patterns

  Yes

  No

  N/A

• Shock absorber pack is free of burn holes and tears

  Yes

  No

  N/A

• Shock absorber pack stitching is free of loose strands, rips, and deterioration

  Yes

  No

  N/A

• Flag on shock-absorbing lanyard has not been activated

  Yes

  No

  N/A

• D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges

  Yes

  No

  N/A

• D-rings pivot freely

  Yes

  No

  N/A

Self-Retracting Lanyards

• Body has no visible physical damage

  Yes

  No

  N/A

• All back nuts or rivets are tight

  Yes

  No

  N/A

• Nylon strap is free of any burns, kinks, knots, and excessive wear

  Yes

  No

  N/A

• Nylon strap is free of tears, broken fibers, frayed edges, and pulled stitches

  Yes

  No

  N/A

• Nylon strap retracts freely

  Yes

  No

  N/A

• Unit was tested to verify that the locking mechanism is operating correctly

  Yes

  No

  N/A

Positioning Lanyards

• Impact indicator free from rupture of colored stitching, elongated indicator

  Yes

  No

  N/A

• Webbing free from cuts, burns, tears, abrasions, frays, excessive soiling and discoloration, corrosion which effects the operation and/or strength

  Yes

  No

  N/A

• Stitching free from pulled or cut stitches

  Yes

  No

  N/A

• All labels are legible and securely held in place

  Yes

  No

  N/A

• All wire rope are free from broken wires, corrosion, kinks, and separation of strands

  Yes

  No

  N/A

• All synthetic rope are free from pulled or cut yarns, barns, abrasions, knots, excessive soiling and discoloration

  Yes

  No

  N/A

• Energy absorbing component free from elongation, tears, and excessive soiling

  Yes

  No

  N/A

Tie-Off Adaptors/Anchorages

• Tie-off adaptor is free of cuts, abrasions, burn marks, and chemical damage

  Yes

  No

  N/A

• Tie-off adaptor is free of tears, broken fibers, frayed edges, and pulled stitches

  Yes

  No

  N/A

• Tie-off adaptor is free of signs of deterioration, heat damage, and stretching

  Yes

  No

  N/A

• Unit was tested to verify that the locking mechanism is operating correctly

  Yes

  No

  N/A

Recommendation

• Overall Rating

  Good

  Needs Repair

  Do Not Use

• Write down your recommendation if any

• Anything else to add

Completion

• Inspected by (Name and Signature)