Information
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This form is the equivalent to Tyco form HSF6.5 issue 0, electronic version 1.0
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Branch / Location
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Inspected By:
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Engineers Name
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Date
Harness Equipment Details
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Harness ID No:
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Cows Tail ID No:
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Restraint Lanyard ID No.
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Sling ID No.
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Suspension Kit ID No.
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Full Arrest Lanyard ID No:
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Ratchet ID No.
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Was all of the equipment issued on the same day?
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Kit issue date: Harness kit has a mandatory life of 5 years from issue.
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Harness Issue Date
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Cows Tail Issue Date
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Restraint Lanyard Issue Date
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Sling Issue Date
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Full Arrest Lanyard Issue Date
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Suspension Kit Issue Date
Harness Check List
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Is the harness sound, clean & dry, free of mud, paint, oil, etc?
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Is the harness free from tears, nicks or damage?
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Is all stitching in place and damage free?
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Are the buckles free of damage?
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Is the harness free from friction damage
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Is the harness free from mould / rot?
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Are the attachment D rings undamaged and in place?
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Are the leg straps free from excessive wear or damage?
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Is the harness tag and safety label fitted and intact?
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Is the rope free from wear?
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Is rope attachment to the karabiner in good order
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Is rocker free from damage?
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Does rocker have free movement?
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Is rocker lanyard free from obvious tears, nicks or damage?
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Is ratchet in good working order?
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Is strap free from nicks and wear?
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Are the karabiners undamaged?
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Do karabiners work freely?
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Is cow’s tail free from tears, nicks or damage?
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Is stitching free from damage?
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Is lanyard free from obvious tears, nicks or damage?
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Is stitching free from damage?
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Are the manufactures instructions / inspection record available?
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Are there any corrective actions required?
Signature
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Harness Inspectors Signature:
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Add signature
