Full Body Harness Rev 8/2020

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

General Info

• Harness Model

• Manufactured date

• Serial Number

• Lot Number

General Factors

• Hardware - Inspect for damage, distortion, sharp edges, burrs, cracks, and corrosion.

  Drawing

• D - rings

  Compliant

  Non-Compliant

  N/A

• Buckles

  Compliant

  Non-Compliant

  N/A

• Keepers

  Compliant

  Non-Compliant

  N/A

• Back Pads

  Compliant

  Non-Compliant

  N/A

• Webbing - Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration

  Compliant

  Non-Compliant

  N/A

• Stitching - Inspect for pulled or cut stitches

  Compliant

  Non-Compliant

  N/A

• Labels - Inspect, make certain all labels are securely held in place and legible

  Compliant

  Non-Compliant

  N/A

• Overall Disposition:

  Pass

  Fail

  N/A

Signature

• Inspected by:

  Sign