@Link Body Harness & Lanyard Inspection

• Harness Owner

• Conducted on

  Date

• Tower Site

• Prepared by

Harness:

• Manufacturer

• Serial Number

  Media

• Placed into service date

  Date

• Manufacture Date

  Date

• Photo of harness labelling and tags

  Media

Harness Type:

• Check Type Harnesses Inspecting

  Select Full-Body Adjustable Harness Full-Body Specialty Harness Padded Full-Body Adjustable Harness

  • Full-Body Adjustable Harness
  • Full-Body Specialty Harness
  • Padded Full-Body Adjustable Harness

• Can the Harnesses remain in service?

  Yes

  No

  N/A

• Inspection Result

  Select Excessive Wear Fraying Cuts Weld Burns Safety Latch Hook D-Rings Data Tag (Certification data present & legible) Passes Inspection

  • Excessive Wear
  • Fraying
  • Cuts
  • Weld Burns
  • Safety Latch Hook
  • D-Rings
  • Data Tag (Certification data present & legible)
  • Passes Inspection

Lanyards

• Manufacturer

• Serial Number

  Media

• Placed into service date

  Date

• Manufacture Date

  Date

• Photo of lanyard labelling and tags

  Media

Lanyard Type:

• Check Type Lanyards Inspecting

  Select Single Double Loop On/D-Ring Lanyard Hook On Adjustable Self Retracting Yo-Yo

  • Single
  • Double
  • Loop On/D-Ring Lanyard
  • Hook On
  • Adjustable
  • Self Retracting Yo-Yo

• Can the Lanyards remain in service?

  Yes

  No

  N/A

• Inspection Result

  Select Excessive Wear Fraying Cuts Weld Burns Safety Latch Hook D-Rings Data Tag (Certification data present & legible) Passes Inspection

  • Excessive Wear
  • Fraying
  • Cuts
  • Weld Burns
  • Safety Latch Hook
  • D-Rings
  • Data Tag (Certification data present & legible)
  • Passes Inspection

Deceleration Device:

• Manufacturer

• Serial Number

  Media

• Placed into service date

  Date

• Manufacture Date

  Date

• Photo of Deceleration Device labelling/Information

  Media

Deceleration Device Type:

• Check Type Deceleration Device Inspecting

  Select Single Double Loop On/D-Ring Lanyard Hook On Adjustable Self Retracting Yo-Yo

  • Single
  • Double
  • Loop On/D-Ring Lanyard
  • Hook On
  • Adjustable
  • Self Retracting Yo-Yo

• Can the Deceleration Device remain in service?

  Yes

  No

  N/A

• Inspection Result

  Select Excessive Wear Fraying Cuts Weld Burns Safety Latch Hook D-Rings Data Tag (Certification data present & legible) Passes Inspection

  • Excessive Wear
  • Fraying
  • Cuts
  • Weld Burns
  • Safety Latch Hook
  • D-Rings
  • Data Tag (Certification data present & legible)
  • Passes Inspection

• Comments

• Photos of any damaged components

  Media

• Inspection Complete?

  Yes

• Inspectors Signature:

  Sign