Safety Harness Inspection

• Site conducted

  Select

• Date of Manufacture

  Date

• Serial Number

• Date and Time of Inspection

  Date

• Inspected by

General Information

• Location of Harness

  Warehouse

  Goods In (canal)

  Maintenance

  Garage

  Other

• Which Area?

• Take a photo of the equipment

  Media

• Is the equipment within its obsolescence date

  Yes

  No

• LOLER Tag number

Equipment Type

• Which Equipment are you inspecting

  Full Body Harness

  Lanyard

  Fall Arrest

Full Body Harnesses

• Does the legible tag identify the harness, model, date of manufacture, name of manufacturer, limitations and warnings

  Yes

  No

  N/A

• Take a photo of it

  Media

• Nylon webbing is free of cuts, burn marks, and chemical damage

  Yes

  No

  N/A

• Harness has and is kept out of direct sunlight

  Yes

  No

  N/A

• Harness shows no sign of UV Damage

  Yes

  No

  N/A

• Webbing is free of tears, broken fibers, frayed edges, and pulled stitches

  Yes

  No

  N/A

• Harness webbing has no additional holes

  Yes

  No

  N/A

• Anchor points show no signs of deterioration

  Yes

  No

  N/A

• D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges

  Yes

  No

  N/A

• D-rings pivot freely

  Yes

  No

  N/A

• Buckles are not deformed or cracked, and will operate correctly

  Yes

  No

  N/A

• All grommets are secure and not deformed

  Yes

  No

  N/A

• All rivets are tight and not deformed

  Yes

  No

  N/A

• Tongue/straps show no excessive wear from repeated buckling

  Yes

  No

  N/A

Lanyard

• Does the legible tag identify the harness, model, date of manufacture, name of manufacturer, limitations and warnings

  Yes

  No

  N/A

• Take a photo of it

  Media

• Type of Lanyard

• Lanyard is free of cuts, abrasions, burn marks, and chemical damage

  Yes

  No

  N/A

• Harness has and is kept out of direct sunlight

  Yes

  No

  N/A

• Harness shows no sign of UV Damage

  Yes

  No

  N/A

• Lanyard is free of tears, broken fibers, frayed edges, and pulled stitches

  Yes

  No

  N/A

• Lanyard adaptor is free of signs of deterioration, heat damage, and stretching

  Yes

  No

  N/A

• Lanyard was tested to verify that the locking mechanism is operating correctly

  Yes

  No

  N/A

Karabiner

• Karabiner has no hook and eye distortions

  Yes

  No

  N/A

• Karabiner have no cracks and pitted surfaces

  Yes

  No

  N/A

• Karabiner latches are not be bent, distorted, or obstructed

  Yes

  No

  N/A

• Keeper latches seat into the nose without binding

  Yes

  No

  N/A

• Keeper springs securely close the keeper latches

  Yes

  No

  N/A

• Locking mechanism was tested to verify that keeper latches lock properly

  Yes

  No

  N/A

• All rivets are tight and not deformed

  Yes

  No

  N/A

• Tongue/straps show no excessive wear from repeated buckling

  Yes

  No

  N/A

Fall Arrest

• Does the legible tag identify the harness, model, date of manufacture, name of manufacturer, limitations and warnings

  Yes

  No

  N/A

• Take a photo of it

  Media

• Nylon webbing is free of cuts, burn marks, and chemical damage

  Yes

  No

  N/A

• Harness has and is kept out of direct sunlight

  Yes

  No

  N/A

• Harness shows no sign of UV Damage

  Yes

  No

  N/A

• Webbing is free of tears, broken fibers, frayed edges, and pulled stitches

  Yes

  No

  N/A

• Webbing has no additional holes

  Yes

  No

  N/A

• Buckles are not deformed or cracked, and will operate correctly

  Yes

  No

  N/A

• All grommets are secure and not deformed

  Yes

  No

  N/A

• All rivets are tight and not deformed

  Yes

  No

  N/A

• Tongue/straps show no excessive wear from repeated buckling

  Yes

  No

  N/A

• Lanyard is free of cuts, abrasions, burn marks, and chemical damage

  Yes

  No

  N/A

• Lanyard is free of tears, broken fibers, frayed edges, and pulled stitches

  Yes

  No

  N/A

• Lanyard adaptor is free of signs of deterioration, heat damage, and stretching

  Yes

  No

  N/A

• Lanyard was tested to verify that the locking mechanism is operating correctly

  Yes

  No

  N/A

• Lifeline Pack is in good condition and has not been activated

  Yes

  No

  N/A

Recommendation

• Overall Rating

  Good

  Needs Repair

  Do Not Use

• Write down your recommendation

Completion

• Inspected by (Name and Signature)

  Sign