Title Page
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Conducted on
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Prepared by
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Select date
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Body Harness Inspection
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Shoulder Straps Ok<br>
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Buckles Ok
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Quick Disconnects -Ok
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D-Ring in Good Shape
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Webbing in Good shape
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Stitching in Good Shape
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Labels are Legible
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Device has been fully inspected
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Trauma Suspension strap present
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Picture of manufacturers label
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Safety lanyard Inspection
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Rebar Hooks Inspected for Wear and functionality
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D-Ring Snap hook Inspected for functionality and Wear
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Energy absorption pack in Good Condition and has no signs of deployment
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Lanyard stretched and inspected
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Retreval Rings are in Good Condition with No signs of wear
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Webbing in Good Condition with No signs of wear
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Stitching in Good Condition with No signs of wear
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Photo of Entire Safety Lanyard
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Full Check of Lanyard Complete
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Full Inspection of Harness And Lanyard COMPLETE and Fit for Service
