CLIMBING HARNESS DAILY INSPECTION

• Document No.

• Location: (if applicable/available)
  Address

• Site: (if applicable/available)

• Conducted on

  Date

• Prepared by

CLIMBING HARNESS Info:

• Photo of Harness

  Media

• Verify that label is present and legible.

  Yes

  No

  N/A

• Verify that there are no modifications or missing elements to the climbing harness.

  Safe

  At Risk

  N/A

• HARNESS Date of Manufacture

  Date

• HARNESS Out of Service Date

  Date

• HARNESS Serial #

• HARNESS Model #

Harness Metal Hardware Condition:

• Check off items that are GOOD , and in satisfactory condition.

• All buckles are in place and free from damage or excessive wear

• Provide picture of unsatisfactory condition

  Media

• Describe the unsatisfactory condition:

• All D-rings are in place and free from damage or excessive wear

• Provide picture of unsatisfactory condition

  Media

• Describe the unsatisfactory condition:

• All buckle springs move freely and work properly

• Provide picture of unsatisfactory condition

  Media

• Describe the unsatisfactory condition:

• Back pad in place and free of damage or excessive wear

• All loop keepers are in place and free from damage or excessive wear

• All metal parts are free of, cracks, distortion, or elongation

• All metal parts are free of, corrosion, burrs, or sharp edges

Harness Textile Webbing Condition:

• Check off items that are GOOD , and in satisfactory condition.

• Is harness webbing free of broken stitches

• Is harness webbing free of cuts or broken fibers

• Is webbing free of frays or tears

• Is the harness free of abrasions, burns, or any sign of mold

• Is the harness free of any chemicals, or deterioration from chemical presence

Harness Straps Condition:

• Check off items that are GOOD , and in satisfactory condition.

• Have the areas hidden by buckles been checked for wear

• Are straps free of cuts, swelling, damage and wear due to use, to heat, or contact with chemicals

• The safety stitching is identified by thread of a different color than that of the webbing.

• Looking at both sides, is the harness free of any safety stitching threads that are loose, worn, or cut

DUAL LANYARD Info:

• Photo of Lanyard

  Media

• LANYARD Date of Manufacture

  Date

• LANYARD Out of Service Date

  Date

• LANYARD Serial #

• LANYARD Model #

Lanyard Metal Hardware Condition:

• Check off items that are GOOD , and in satisfactory condition.

• Are all metal parts free of damaged or wear

• Are all metal parts free of burrs, cracks, or sharp edges

• All metal parts free of distortion, elongation, or corrosion

Lanyard Textile Webbing Condition:

• Check off items that are GOOD , and in satisfactory condition.

• Are all lanyard textiles free of, cuts frays or broken fibers

• Is there any sign of broken or loose stitches on the lanyard straps

• Is the lanyard free of any signs of tears. abrasion, or mold

• Are all lanyard textiles free of, cuts frays or broken fibers?

  Yes

  No

  N/A

• Is there any sign of broken or loose stitches on the lanyard straps?

  Yes

  No

  N/A

• Is the lanyard free of any signs of tears. abrasion, or mold?

  Yes

  No

  N/A

Overall inspection Info:

• HARNESS is approved for continuing service

  Yes

  No

  N/A

• Reason for Failure

• Name / Signature of Inspector

  Sign