Pre-Start Fall Protection Check List

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Alternate Glazing Systems Ltd.

Site Information

• Job Site:

• Date:

  Date

Harnesses

• Do web parts have tears, holes, or contaminants eg. concrete, felt marker etc.?

  Yes

  No

  N/A

• Do Buckles operate correctly?

  Yes

  No

  N/A

• Do the buckles and D rings have cracks, fractures or deformities?

  Yes

  No

  N/A

Carabiners

• Does the latch close/engage properly?

  Yes

  No

  N/A

• Are there cracks, fractures, or deformities?

  Yes

  No

  N/A

Horizontal Life Line

• Does the webbing have any cuts, burns, abrasions, or excessive wear?

  Yes

  No

  N/A

• Does the Ratchet have cracks, fractures, or deformities?

  Yes

  No

  N/A

• Are there signs of corrosion?

  Yes

  No

  N/A

• Do the carabiners have any cracks, fractures or deformities?

  Yes

  No

  N/A

• Are all labels present and legible?

  Yes

  No

  N/A

• Is the shock pack intact?

  Yes

  No

  N/A

• Do the rings have any cracks, fractures or deformities?

  Yes

  No

  N/A

Ropes

• Does the rope have any abrasions, cuts, burns, or excessive wear?

  Yes

  No

  N/A

• Does the thimble splice show signs of wear, abrasion, burns or loosening?

  Yes

  No

  N/A

Line Grabs

• Are there any signs of cracks, fractures, or deformities?

  Yes

  No

  N/A

• Does the latch work properly?

  Yes

  No

  N/A

• Does the screw clap work properly?

  Yes

  No

  N/A

Lanyards

• Does the web have any cuts, abrasions, burns, or excessive wear?

  Yes

  No

  N/A

• Do the spring hooks work correctly and easily?

  Yes

  No

  N/A

• Are there any signs of cracks, fractures, or deformities in the hooks?

  Yes

  No

  N/A

Sign Off

• Name:

  Sign