Title Page
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Site conducted
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Conducted on
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Location
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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
Inspect Harness & Laynyard
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Scan barcode
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Inspect
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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
Sign off
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Inspector's signature
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Date
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Manager Signature
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Date
