Eastek Full Body Harness Inspection Checklist

• Prepared by

• Conducted on

  Date

• Job Number

• Location
  Address

• Type of Work

  Fall Restraint

  Elevated Work Platform

  Fall Arest

  Work Positioning

  Other

• Other

HARNESS

• Please complete for your Harness

Harness Information

• Information Tag

  Media

• Harness Brand

  Protecta

  Seraph

  Other

• Other Brand:

• Harness Model

  Prosafe 89SNZ

  Other

• Other Model:

• Serial #:

LABELS & MARKINGS

• Date of manufacture:

• Under 10 Years Old

  Yes

  No

  N/A

• Remove from service immediately through destruction. Inform foreman in person or via phone.

• Appropriate ASNZS / CSA / OSHA Markings

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform Louise via email.

• Legible Label

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform Louise via email.

WEBBING

• Check Condition of the Webbing

• Shoulder Straps

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Chest & Back Straps

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Waist Straps

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Leg Straps

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Cuts

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Burns

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Holes

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Deterioration

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Paint Damage

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

STITCHING

• Check the Condition of the Stitching

• Shoulder Straps

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Chest & Back Straps

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Waist Straps

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Leg Straps

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

D-RINGS

• Check the Conditionof the D-Rings

• Back D-Ring

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform Louise via email.

• Front D-Ring

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform Louise via email.

BUCKLES

• Check the condition of the Buckles

• Shoulder Adjustment

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Chest & Back Buckle Hardware

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Chest Carabiner

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Leg Straps

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Is a Lanyard required?

  Yes

  No

  N/A

LANYARD

• Please complete for your Lanyard

Lanyard Information

• Infomation Tag

  Media

• Lanyard Brand

  Protecta

  Seraph

  Other

• Other Brand:

• Lanyard Model

  Prosafe 5PSNZ

  Prosafe

  Other

• Other Model:

• Lanyard type:

  Select Flat Web w/ Pouch Tubular Web-Elastic Pouch Tubular Web w/ POY Cable Web w/ Pouch Y-Lanyard Internal Shock Bungee Internal Shock Non-Bungee Other

  • Flat Web w/ Pouch
  • Tubular Web-Elastic Pouch
  • Tubular Web w/ POY
  • Cable Web w/ Pouch
  • Y-Lanyard
  • Internal Shock Bungee
  • Internal Shock Non-Bungee
  • Other

• Enter type:

• Serial #:

Labels and Markings

• Date of manufacture

• Less than 10 Years Old

  Yes

  No

  N/A

• Remove from service immediately through destruction. Inform foreman in person or via phone. Advise Louise via email

• Legible Label

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Appropriate ASNZS / CSA / OSHA Markings

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

Webbing

• Check the condition of the webbing

• Broken, Missing, or Loose Stitching

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Termination (Stitch or Splice or Swage)

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Webbing Length

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Cuts

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Burns

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Holes

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Deterioration

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Paint Damage

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

Shock Pack

• Check the condition of the shock pack

• Integrity of Cover

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Signs of Deployment

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Signs of Damage

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

Connectors & D-Rings

• Check the condition of the connectors and D-Rings

• Function of Connector Locking Gate

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Corrosion

  Pass

  Fail

• Body of Hook or Rivets

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

• Pitting

  Pass

  Fail

• Add media

  Media

• Remove from service immediately through destruction. Inform foreman in person or via phone. Inform tool room via email.

DEFINITION OF TERMS

• DETERIORATION - Eaten or worn away by chemicals

• PITTING - A small indentation in the surface

• NICKS - A shallow notch, cut, or indentation on an edge or surface

NOTES

• Insert any notes or photos

• Add media

  Media

• Notes