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ITS Technologies & Logistics Monthly Inspections

  • Harness Fall Protection Inspections

  • Division

  • Location / Site

  • GPS - Location
  • For Month Of:

  • Conducted on

  • 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 #

Checklist

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>

  • 2. D Pad?<br>

  • 3. All Nylon Webbing?<br><br>

  • 4. All Buckles?<br><br>

  • 5. Elastic Keepers?<br>

  • 6. All Sitiching?<br>

  • 7. All Grommets?<br>

  • 8. Back Strap?<br>

  • 9. Chest Strap?<br>

  • 10. Mating Link?<br>

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

Comments - Corrective Action:

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