Harness Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Operatives

• Operative Name

  Other

• Specify

• Harness No.

• Lanyard No.

• Defect/Damage/Wear

• Action Required

• Signature (Inspector)

  Sign

• Signature (Operative)

  Sign

Completion

• Prepared by

  Sign