Apex PowerFull Body Harness and Lanyard Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Harness model, date, serial number, lot number,size, purchase date

• Pictures

  Media

• Additional information

General Factors

• Hardware: Inspect D-rings, buckles, keepers, back pads for damage, distortion, sharp edges, burrs, cracks, and corrosion. Is it acceptable?

  Safe

  At Risk

  N/A

• Shock absorber - tears, been deployed,cuts, stitching?

  Safe

  At Risk

  N/A

• Webbing: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration. Is it acceptable?

  Safe

  At Risk

  N/A

• Stitching: Inspect for pulled or cut stitching. Is it acceptable?

  Safe

  At Risk

  N/A

• Label: Inspect and make certain all labels are securely attached and legible. Is this acceptable?

  Safe

  At Risk

  N/A

• Overall disposition

  Safe

  At Risk

  N/A

• Tim Scott

  Sign