Fall Protection Equipment Checklist

• Conducted on

  Date

• Prepared by

Harness

• No cuts, frayed edges, broken stitches or other damage?

  Yes

  No

  N/A

• No excessive oil or grease contamination

  Yes

  No

  N/A

• Buckle slides easily for adjustment?

  Yes

  No

  N/A

Lanyard

• No worn, broken or cut fibres?

  Yes

  No

  N/A

• No knots?

  Yes

  No

  N/A

• No evidence of stretching or loading?

  Yes

  No

  N/A

• No cracks, distortion or corrosion or signs of stress on connecting hardware?

  Yes

  No

  N/A

• Correct length to ensure only 1 meter free fall?

  Yes

  No

  N/A

Shock Absorber

• Shock absorber intact and unused?

  Yes

  No

  N/A

• Shock absorber is installed at man end of lanyard, not anchor end?

  Yes

  No

  N/A

• Stitching is intact, no cuts, tears, stretching or grease?

  Yes

  No

  N/A

D-Ring (belt)

• No distortion, cracks or corrosion?

  Yes

  No

  N/A

Snap Hook

• Double action hook only

  Yes

  No

  N/A

• No cracks, corrosion, pitted, bent or sharp edges?

  Yes

  No

  N/A

• Lock doesn’t allow keeper to open when engaged?

  Yes

  No

  N/A

Anchors (lift)

• Only one lanyard attached to each anchor

  Yes

  No

  N/A

• CSA certified

  Yes

  No

  N/A

• No corrosion, cracks or damage?

  Yes

  No

  N/A

• I have fully inspected my harness and believe all the information to be correct and my harness is in good working condition.

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