Harness & Lanyard Inspection Report

• Conducted on

  Date

• Prepared by

Harness:

• Manufacturer

• Serial Number

• Manufacture Date

  Date

• Photo of harness labelling and tags

  Media

Harness Type:

• Check any items found Bad

  Select Fraying Weld Burns Cuts Excessive Wear Stitching Rivets Eyelets D-Rings Buckles Body Pad Data Tag (Certification data present & legible

  • Fraying
  • Weld Burns
  • Cuts
  • Excessive Wear
  • Stitching
  • Rivets
  • Eyelets
  • D-Rings
  • Buckles
  • Body Pad
  • Data Tag (Certification data present & legible

• Take photos of any defects found

  Media

• Can the Harnesses remain in service?

  Yes

  No

  N/A

Lanyards

• Manufacturer

• Serial Number

• Manufacture Date

  Date

Lanyard Type:

• Check any items found Bad

  Select Excessive Wear Fraying Cuts Weld Burns Deteriorate Safety Latch Hook D-Rings Data Tag (Certification data present & legible)

  • Excessive Wear
  • Fraying
  • Cuts
  • Weld Burns
  • Deteriorate
  • Safety Latch Hook
  • D-Rings
  • Data Tag (Certification data present & legible)

• Take photos of any defects found

  Media

• Can the Lanyards remain in service?

  Yes

  No

  N/A

• Comments

• Inspectors Signature:

  Sign