CLIMBING HARNESS DAILY INSPECTION

• Document No.

• Location: (if applicable/available)
  Address

• Site: (if applicable/available)

• Conducted on

  Date

• Prepared by

CLIMBING HARNESS Info:

• Is this the ***Harness Issued to You***<br>with the Serial number 1234567

  Yes

  No

• Verify that label is present and legible.

  Yes

  No

• Describe the unsatisfactory condition:

• HARNESS Serial #

• HARNESS Model #

• Yes

  No

  N/A

• HARNESS Date of Manufacture

  Date

• Verify: Has the ***Harness*** lifetime been exceeded.

  Yes

  No

• Describe the unsatisfactory condition:

• Are there any modifications or missing elements to the climbing harness.

  Yes

  No

• Describe the modifications and if they meet safety requirements or not:

Checking the condition of the ***FALL ARREST HARNESS***

• Are the Harness textiles free of, (cuts, fuzziness, or signs of chemicals...)?

  Yes

  No

• Describe the unsatisfactory condition:

• Check the condition of the stitching on both sides. Is there any sign of broken, worn, or loose stitches on harness or the straps?

  Yes

  No

• Describe the unsatisfactory condition:

• Do all buckles, and loop keepers move freely and work properly?

  Yes

  No

• Describe the unsatisfactory condition:

• Move straps to check hidden attachment points, is there any sign of broken, or frayed treads...?

  Yes

  No

• Describe the unsatisfactory condition:

Checking the condition of the **Dual Lanyard** and **Energy Absorber**

• Verify: Has the **Energy Absorber** lifetime been exceeded.

  Yes

  No

• Describe the unsatisfactory condition:

• Verify: Has the **Energy Absorber** sustained an impact load (verify that none of the fabric between the straps has been torn)?

  Yes

  No

• Describe the unsatisfactory condition:

• Remove the carabineers and STRINGs from the different arms, Or move the connectors to inspect the hidden parts

• Is there any signs of cuts, fuzziness, or presence of chemicals...?

  Yes

  No

• Describe the unsatisfactory condition:

• Check the condition of the hooks Do they move freely and work properly?

  Yes

  No

• Describe the unsatisfactory condition:

Inspection of ***Positioning Strap***

• Are all buckles moving freely and working properly?

  Yes

  No

• Describe the unsatisfactory condition:

• Checking the strap: Is it free from damage or excessive wear?

  Yes

  No

• Describe the unsatisfactory condition:

Overall inspection Info:

• HARNESS is approved for continuing service

  Yes

  No

• Reason for Failure

• Name / Signature of Inspector

  Sign