Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Labels

  • Labels fully legible

  • Harness date of manufacture

  • Harness serial #

  • Harness model #

  • Lanyard date of manufacture

  • Lanyard serial #

  • Lanyard model #

Hardware

  • Buckles in place

  • D rings in place

  • Back pad in place

  • Loop keepers in place

Hardware conditions

  • Any damaged or worn parts

  • Any broken or bent parts

  • All buckle springs loose

  • Any sharp edges

  • Any burrs

  • Any cracks

  • Any parts distorted or out of shape

  • Any corrosion

Webbing

  • Any cuts

  • Any webbing frayed

  • Any broken fibres

  • Any broken stitches

  • Any tears

  • Any abrasions

  • Any mold

  • Any burns

  • IF INSPECTION REVEALS ANY DEFECTIVE CONDITION, REMOVE FROM SERVICE AND DESTROY

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.