Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
Harness Labelling
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Harness clearly displays a certification mark and serial number
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Harness Make
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Harness Model
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Harness serial number
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Date of manufacture
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Is it within the 5 year working lifespan?
Harness Hardware checks
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Check the condition of the "D" rings for Distortion
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Check the condition of the "D" rings for Fatigue/rust
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Check the condition of the "D" rings for Excessive wear
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Check the condition of the "D" rings for Cracking
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Check the condition of the plastic back plate, fasteners, web tidies, adjusters and connectors for Excessive wear
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Check the condition of the plastic back plate, fasteners, web tidies, adjusters and connectors for Cracks
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Check the condition of the plastic back plate, fasteners, web tidies, adjusters and connectors for Damage
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Check the condition of the plastic back plate, fasteners, web tidies, adjusters and connectors for Discolouration
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Hold the harness up by the shoulder straps and ensure the webbing hangs evenly.
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Connect the buckle/connectors and ensure the harness is not distorted and hangs evenly.
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Check that all of the straps and webbing are free from cuts
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Check that all of the straps and webbing are free from fraying
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Check that all of the straps and webbing are free from Excessive wear
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Check the webbing for signs of UV damage (Colour fading is a good indication)
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Check the webbing for signs of chemical contamination (Staining is a good indication)
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Harness is approved for use at the time of inspection?
Lanyard Labelling
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Lanyard clearly displays a certification mark and serial number
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Lanyard make
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Lanyard model
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Lanyard serial number
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Date of manufacture
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Is it within the 5 year working lifespan?
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Type of lanyard (Ladder, adjustable or twin)
Lanyard Hardware checks
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Check the condition of the carabiner for distortion
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Check the condition of the carabiner for fatigue/rust
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Check the condition of the carabiner for cracking
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Check the condition of the carabiner for excessive wear
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Check the condition of the main hook for distortion
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Check the condition of the main hook for fatigue/rust
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Check the condition of the main hook for cracking
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Check the condition of the main hook for excessive wear
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Check the condition of the webbing/straps for UV damage (Colour fading is a good indication)
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Check the condition of the webbing/straps for chemical contamination (Staining is a good indication)
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Check that all of the webbing/straps are free from cuts
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Check that all of the webbing/straps are free from fraying
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Check that all of the webbing/straps are free from excessive wear
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Check that the cover/shrink tube is fitted on the shock pack
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Check that the shock pack is free from any cuts or fraying
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Check that shock pack indicator shows no signs of deployment
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Lanyard is approved for use at the time of inspection?
Sign off
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Name of person completing the inspection
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Signature of person completing the inspection