ITSTL - Harness Inspections Fall Protection Monthly

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ITS Technologies & Logistics Monthly Inspections

• Harness Fall Protection Inspections

• Division

  In-Terminal

  AAW

  CGI

  ACS

• Location / Site

• GPS - Location
  Address

• For Month Of:

• Conducted on

  Date

• Prepared by - Full Name

• Employee Number

• Note: Each Harness inspected - Must be completed and numbered accordingly to identify each individual inspection

• Item or Harness Number #

ITS Technologies & Logistics Monthly Inspections

Harness Fall Protection Inspections - Self Inspection Checklist

• Guidelines: Mark each item P for Pass or F for Fail. If any fails inspection remove from service and destroy. inspection remove from service and destroy.

Note: Description of Harness Inspection - Must be selected Below

• 1. D Ring?<br>

  Pass

  Fail

  N/A

• 2. D Pad?<br>

  Pass

  Fail

  N/A

• 3. All Nylon Webbing?<br><br>

  Pass

  Fail

  N/A

• 4. All Buckles?<br><br>

  Pass

  Fail

  N/A

• 5. Elastic Keepers?<br>

  Pass

  Fail

  N/A

• 6. All Sitiching?<br>

  Pass

  Fail

  N/A

• 7. All Grommets?<br>

  Pass

  Fail

  N/A

• 8. Back Strap?<br>

  Pass

  Fail

  N/A

• 9. Chest Strap?<br>

  Pass

  Fail

  N/A

• 10. Mating Link?<br>

  Pass

  Fail

  N/A

• 11. Assigned Location - Is Harness in Assigned Location? <br> * Mark in Notes what is location for this Item.<br>

  Pass

  Fail

  N/A

Comments - Corrective Action: