Title Page
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Site conducted
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Report Date
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User
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Inspector
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Location
HARNESS
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Harness ID
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Make
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Model
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Serial #
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Date of Manufacture
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Date of First Use
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Inspection frequency
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Location of harness
LABELS & MARKINGS
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Label (Intact & Legible)
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Appropriate ANSI/OSHA/CSA Markings
WEBBING
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Shoulder/Chest/Leg/Back Straps
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Cuts/Burns/Holes
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Paint Contamination
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Excessive Wear
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Heat/UV Damage
STITCHING
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Shoulder/Chest/Leg/Back Straps
HARDWARE (BUCKLES & D-RINGS)
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Shoulder Adjustment Buckles
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Leg & Waist Buckles/Other Hardware
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D-Rings (Dorsal, Side, Shoulder, or Sternal)
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Corrosion/Pitting/Nicks
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ADDITIONAL NOTES
LANYARD
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Lanyard Id
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Make
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Model
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Serial #
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Date of First Use
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Date of Manufacture
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Chain - must be free from wear, nicks, cracks, breaks, gouges, stretch, bend and discoloration from excessive temperatures.
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Issue(s)
- Wear
- Cracks
- Gouges Bent
- Nicks
- Breaks
- Stretched
- Excessive Heating
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Snap hooks/Carabiners<br>Snap hooks and carabiners on product must be able to self-close and lock. All hardware must be free of cracks, sharp edges, deformation, corrosion, or any evidence of defect.
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Issue(s)
- Does Not Close
- Cracks
- Deformation
- Corrosion
- Does Not Lock
- Sharp Edges Alteration
- Load Indicator Warning
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Hardware<br>All hardware must be free of cracks, sharp edges, deformation, corrosion, or any evidence of defect.
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Issue(s)
- Cracks
- Sharp Edges
- Deformation
- Corrosion
- Chemical Attack
- Wear
- Alteration
- Excessive Heating
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Labels<br>All markings must be free of cracks, sharp edges, deformation, corrosion, or any evidence of defect.
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Issue(s)
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Name, Signature & Sign Date
