Title Page
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Conducted on
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Prepared by
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Job Number
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Serial Number
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Manufacturer
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Date of Manufacture
Harness Inspection
Labels and Markings
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Label intact and legible
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Appropriate ANSI/OHSA markings
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Impact/fall indicators not deployed
Hardware
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Signs of deformity or Damage
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Proper D-ring attachment and operation
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All buckles are undamaged and are operational
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Corrosion/pitting/nicks
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Are grommets secure and do not move?
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
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Notes