Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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Manufacture Date:
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Harness Manufacturer:
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Purchase Date:
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Unique Identification Number:
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WEBBING
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LOSS of FAITH
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INITIAL
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DETAILS / COMMENTS
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UV damage (discoloration), mildew, rotting
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Cuts / frays / abrasion
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Contact with chemicals / solvents
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Contact with grease / oil / paint/ marker
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Soiling
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Evidence of heat damage (friction, welding splatter, sparks, burn holes)
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D‐RINGS (includes hardware, keepers and back pads)
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LOSS of FAITH
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INITIAL
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DETAILS / COMMENTS
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Damage
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Distortion, grooved, bent
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Sharp edges, cracks
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Burrs
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Corrosion
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Evidence of heat damage (friction, welding splatter, sparks, burn holes)
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BUCKLES & ADJUSTERS
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LOSS of FAITH
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INITIAL
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DETAILS / COMMENTS
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Damage
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Distortion
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Sharp edges, cracks
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Sticky springs
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Bent tongues
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Corrosion
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SNAP HOOKS
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LOSS of FAITH
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INITIAL
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DETAILS / COMMENTS
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Excessive wear
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Excessive dirt
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Sharp edges, cracks
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2 Action open
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Locking action
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Corrosion
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STITCHING
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LOSS of FAITH
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INITIAL
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DETAILS / COMMENTS
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Fully stitched
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Backstitch present
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Pulled or cut stitches
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LANYARDS & LIFELINES
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LOSS of FAITH
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INITIAL
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DETAILS / COMMENTS
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Appropriate OHSA / CSA markings or labels
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Cuts, burns, tears or frays
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Abrasion
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Knots
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Excessive soiling
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Contact with chemicals / solvents
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Contact with grease / oil / paint/ marker
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UV damage (discoloration), mildew, rotting
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Evidence of heat damage (friction, welding splatter, sparks, burn holes)
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Distortion of housing
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Spring tension allows for retraction and for retention
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Indicator for activation / deployed
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Broken wires
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LABELS & MARKINGS
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LOSS of FAITH
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INITIAL
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DETAILS / COMMENTS
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Appropriate OHSA / CSA markings or labels
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Legible
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Securely held in place
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Manufacturer’s in-service date
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Inspected By:
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Accepted
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Overall Disposition
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Rejected
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Date Inspected:
