Inspection

Visual Inspection

Tags / Labels

CSA Approval

Nylon Webbing

Buckles (Chest and Legs)

Strap Keepers

D-Ring

D-Ring Pad

Lanyard

Shock Absorber

Snap Hooks

Additional comments or observatons

Additional comments/observation

Observation

Add observations/comments here.

Results

Pass or Failure

Signatures

I hereby certify that all information is accurate and that an actual inspection was conducted as per company policy.

Inspector's Printed Name & Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.