Harness & Lanyard Check Sheet

Use this template to ensure that the harness and lanyard is in good condition before use to reduce the risk of falling. Begin with providing a description about safety harness and scan or enter the serial number. Carefully inspect each part of the harness and its connections (snap hooks, lanyard and tie-off adaptors/anchorages). Make sure to check the label of each to identify the type of harness, model, manufacturing details, Complete the inspection and any failed item do not use the Harness or Lanyard and report the fault to your Manager.

Title Page

Site conducted
Conducted on
Location

1. Does the legible tag identify the harness, model, date of manufacture, name of manufacturer
2. Nylon webbing is free of cuts, burn marks, and chemical damage, no Marker or Pen writing on Webbing
3. Webbing is free of tears, broken fibers, frayed edges, and pulled stitches
4. Webbing is free of tears, broken fibers, frayed edges, and pulled stitches
5. D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges
6. D-rings pivot freely
7. Buckles are not deformed or cracked, and will operate correctly
8. All grommets are secure and not deformed
9. All rivets are tight and not deformed
10. Tongue/straps show no excessive wear from repeated buckling
11. Lanyard nylon webbing is free of cuts, abrasions, burn marks, and chemical damage
12. Webbing is free of tears, broken fibers, frayed edges, and pulled stitches
13. Wire rope lanyard is free of cuts, frayed areas, and unusual wearing patterns
14. D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges
15. D-rings pivot freely
Scan barcode
Inspect
Reason for Failure
- 1. Does the legible tag identify the harness, model, date of manufacture, name of manufacturer
- 2. Nylon webbing is free of cuts, burn marks, and chemical damage, no Marker or Pen writing on Webbing
- 3. Webbing is free of tears, broken fibers, frayed edges, and pulled stitches
- 4. Webbing is free of tears, broken fibers, frayed edges, and pulled stitches
- 5. D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges
- 6. D-rings pivot freely
- 7. Buckles are not deformed or cracked, and will operate correctly
- 8. All grommets are secure and not deformed
- 9. All rivets are tight and not deformed
- 10. Tongue/straps show no excessive wear from repeated buckling
- 11. Laynyard nylon webbing is free of cuts, abrasions, burn marks, and chemical damage
- 12. Webbing is free of tears, broken fibers, frayed edges, and pulled stitches
- 13. Wire rope lanyard is free of cuts, frayed areas, and unusual wearing patterns
- 14. D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges
- 15. D-rings pivot freely