Title Page
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Site conducted
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Date of Manufacture
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Serial Number
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Date and Time of Inspection
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Inspected by
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Harness ID tag
- GI 1
- GI 2
- GI 3
- GI 4
- GI 5
- GI 6
- GI 7
- GI 8
- GI 9
- GI 10
- GI 11
- GI 12
- GI 13
- GI 14
- WH 1
- WH 2
- WH 3
- WH 4
- WH 5
- WH 6
- WH 7
- WH 8
- WH9
- WH 10
- WH 11
- WH 12
- WH 13
- WH 14
- M 1
- M 2
- M 3
- M 4
- M 5
- M 6
- M 7
- M 8
- M9 9
- M 10
- M 11
- M 12
- M 13
- M 14
- M 15
- M 16
Harness Equipment Inspection
General Information
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Location of Harness
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Which Area?
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Take a photo of the equipment
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Is the equipment within its obsolescence date
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LOLER Tag number
Equipment Type
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Which Equipment are you inspecting
Full Body Harnesses
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Does the legible tag identify the harness, model, date of manufacture, name of manufacturer, limitations and warnings
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Take a photo of it
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Nylon webbing is free of cuts, burn marks, and chemical damage
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Harness has and is kept out of direct sunlight
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Harness shows no sign of UV Damage
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Webbing is free of tears, broken fibers, frayed edges, and pulled stitches
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Harness webbing has no additional holes
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Anchor points show no signs of deterioration
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D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges
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D-rings pivot freely
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Buckles are not deformed or cracked, and will operate correctly
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All grommets are secure and not deformed
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All rivets are tight and not deformed
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Tongue/straps show no excessive wear from repeated buckling
Lanyard
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Does the legible tag identify the harness, model, date of manufacture, name of manufacturer, limitations and warnings
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Take a photo of it
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Type of Lanyard
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Lanyard is free of cuts, abrasions, burn marks, and chemical damage
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Harness has and is kept out of direct sunlight
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Harness shows no sign of UV Damage
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Lanyard is free of tears, broken fibers, frayed edges, and pulled stitches
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Lanyard adaptor is free of signs of deterioration, heat damage, and stretching
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Lanyard was tested to verify that the locking mechanism is operating correctly
Karabiner
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Karabiner has no hook and eye distortions
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Karabiner have no cracks and pitted surfaces
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Karabiner latches are not be bent, distorted, or obstructed
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Keeper latches seat into the nose without binding
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Keeper springs securely close the keeper latches
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Locking mechanism was tested to verify that keeper latches lock properly
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All rivets are tight and not deformed
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Tongue/straps show no excessive wear from repeated buckling
Fall Arrest
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Does the legible tag identify the harness, model, date of manufacture, name of manufacturer, limitations and warnings
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Take a photo of it
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Nylon webbing is free of cuts, burn marks, and chemical damage
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Harness has and is kept out of direct sunlight
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Harness shows no sign of UV Damage
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Webbing is free of tears, broken fibers, frayed edges, and pulled stitches
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Webbing has no additional holes
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Buckles are not deformed or cracked, and will operate correctly
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All grommets are secure and not deformed
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All rivets are tight and not deformed
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Tongue/straps show no excessive wear from repeated buckling
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Lanyard is free of cuts, abrasions, burn marks, and chemical damage
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Lanyard is free of tears, broken fibers, frayed edges, and pulled stitches
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Lanyard adaptor is free of signs of deterioration, heat damage, and stretching
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Lanyard was tested to verify that the locking mechanism is operating correctly
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Lifeline Pack is in good condition and has not been activated
Recommendation
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Overall Rating
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Write down your recommendation
Completion
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Inspected by (Name and Signature)
