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Full Body Harness Checklist/Log

  • Full Body Harness Model: Manufacture/Lot Date: Serial Number: Purchase Date:

  • Hardware:<br>(Includes D-rings, buckles, keepers, & back pads)<br>Inspect for damage, distortion, sharp edges, burrs, cracks, & corrosion

  • Webbing:<br>Inspect for cuts, burns, tears, abrasion, frays, excessive soiling, & discoloration

  • Stitching:<br>Inspect for pulled or cut stitches

  • Labels:<br>Make certain all labels are securely held in place & legible

  • Other:<br>Please describe below

  • undefined

Lanyards Inspection Checklist/Log

  • Lanyard Model: Manufacture/Lot Date: Serial Number: Purchase Date:

  • Hardware:<br>(Includes D-rings, buckles, keepers, & back pads)<br>Inspect for damage, distortion, sharp edges, burrs, cracks, & corrosion

  • Webbing:<br>Inspect for cuts, burns, tears, abrasion, frays, excessive soiling, & discoloration

  • Stitching:<br>Inspect for pulled or cut stitches

  • Synthetic Rope:<br>Inspect for pulled or cut yarns, burns, abrasion, knots, excessive soiling & discoloration

  • Wire Rope:<br>Inspect for broken wires, corrosion, kinks, & separation of strands

  • Energy Absorbing Component:<br>Inspect for elongation, tears, & excessive soiling

  • Labels:<br>Make certain all labels are securely held in place & legible

  • Other:<br>Please describe below

  • undefined

Hooks/Carabiners Inspection Checklist/Log

  • Hook/Carabiner Model: Manufacture/Lot Date: Serial Number: Purchase Date:

  • Hardware:<br>(Includes D-rings, buckles, keepers, & back pads)<br>Inspect for damage, distortion, sharp edges, burrs, cracks, & corrosion

  • Webbing:<br>Inspect for cuts, burns, tears, abrasion, frays, excessive soiling, & discoloration

  • Stitching:<br>Inspect for pulled or cut stitches

  • Labels:<br>Make certain all labels are securely held in place & legible

  • Other:<br>Please describe below

  • undefined

Tie-Off Adaptors/Anchorage Plates Inspection Checklist/Log

  • Tie-Off Adaptor/Anchorage Plate Model: Manufacture/Lot Date: Serial Number: Purchase Date:

  • Physical Damage:<br>Inspect for cracks, sharp edges, burns, deformities, & locking operation

  • Excessive Corrosion:<br>Inspect for corrosion which effects the operation &/or strength

  • Fasteners:<br>Inspect for corrosion, tightness damage & distortion. If welded, inspect weld for corrosion, cracks & damage

  • Markings:<br>Make certain marking(s) are legible

  • Other:<br>Please describe below

  • undefined

Self Retracting Lifelines Inspection Checklist/Log

  • Self Retracting Lifeline Model: Manufacture/Lot Date: Serial Number: Purchase Date:

  • Impact Indicator:<br>Inspect indicator for activation (rupture of red stitching, elongated, etc.)

  • Screws/Fasteners:<br>Inspect for damage & make certain all screws & fasteners are tight

  • Housing:<br>Inspect for distortion, cracks & other damage. Inspect anchoring loop for distortion & damage

  • Lifeline:<br>Inspect for cuts, burns, tears, abrasion, frays, excessive soiling & discoloration, broken wires

  • Locking Action:<br>Inspect for proper lock-up of brake mechanism

  • Retraction/Extension:<br>Inspect spring tension by pulling lifeline out fully and allowing it to retract fully (no slack)

  • Hooks/Carabiners:<br>Inspect for physical damage, corrosion, proper operation markings (see separate checklist/log for hooks & carabiners)

  • Reserve Lifeline: <br>Inspect reserve lifeline retention systems for deployment

  • Labels:<br>Make certain all labels are securely held in place & legible

  • If all that applies has been completed please sign:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.