Title Page

  • Name of Inspector

  • Inspection date

  • Next Inspection Due

  • Date of Manufacture

  • Date of First Use

  • Company Name

  • Kit Number

  • Manufacturers Age Limit Exceeded

  • Are there any components missing

  • Which ones?

  • Is the item in suitable condition for inspection, i.e. free from dirt or contamination that will impair visual inspection

  • If not, the items may require cleaning in accordance with the manufacturers instructions

Harness Inspection

  • Serial Number

Webbing

  • Cuts

  • Tears

  • Abrasions

  • Discolouration

  • Heat Damage

Buckles

  • Deformation

  • Sharpe Edges

  • Corrosion

  • Cracks

  • Function

Attachment Links

  • Deformation

  • Distortion

  • Cracks

  • Corrosion

Stitching

  • Missing

  • Incomplete

  • Damaged

  • Frayed

Web Tidies

  • Missing

Detailed comments and any recommended actions

  • Any Comments

Sign Off

  • Overall Pass or fail?

  • Reason?

  • This Harness will now be destroyed beyond use.

  • Signed

Lanyard Inspection

  • Serial Number

Webbing

  • Cuts

  • Tears

  • Abrasions

  • Discolouration

  • Heat Damage

Buckles

  • Deformation

  • Sharpe Edges

  • Corrosion

  • Cracks

  • Function

Connectors

  • Deformation

  • Distortion

  • Cracks

  • Corrosion

  • Function

Stitching

  • Missing

  • Incomplete

  • Damaged

  • Frayed

Shock Absorbing Pack

  • Deployed

Detailed comments and any recommended actions

  • Any Comments

Sign Off

  • Overall Pass or fail?

  • Reason?

  • This Harness will now be destroyed beyond use.

  • Signed

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.