Title Page

  • Inspected by:

  • Date:

  • Model Serial Number

  • Date of Manufacture

BODY HARNESS

  • Is the Body Harness full intact?

  • Are any Tel-Tails visible?

  • Is there any unintended holes on the harness?

  • Are any of the straps on the harness discolored?

  • Is there any fraying on harness components?

  • Are all the clips/ attached points present?

  • Are there any cracked / bent clips or buckles?

  • Is the harness material for the job being performed?

LANYARDS

  • Is the harness fully intact?

  • Are any Tel-Tails visible?

  • Is there any discoloring / fraying or holes in the fabric?

  • Are any links bent or stretched ( if metal links)?

  • Are any cable lines snapped or frayed (if cable)?

  • Is the retracting feature working (if self retracting)?

  • Are any of the clips/ attachements cracked or bent?

  • Is the lanyard appropriate for the job?

CONNECTORS AND ANCHOR STRAPS

  • Are all hooks and carabineers intact?

  • Is there a locking mechanism present?

  • Are any connectors stretched, cracked or modified?

  • Has any of the stitching been ripped?

  • Are any Tel-Tails visible?

Verification

  • Verified By:

  • Signed By:

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