Untitled template

• Date of Inspection

  Date

• Inspected By

• PCL ID Number

• Date of Purchase

• Date Out of Service

• Date First Used In Service

• Harness Description

• Manufacturer/Supplier

• Date of Manufacturer

• Serial Number

• Date of Next Inspection

• Cuts, tears or holes

  Pass

  Fail

  N/A

• Abrasion

  Pass

  Fail

  N/A

• Excessive Stretching

  Pass

  Fail

  N/A

• Corrosive chemical, solvent or heat damage

  Pass

  Fail

  N/A

• Detoration due to rotting, mildew or ultraviolet exposure

  Pass

  Fail

  N/A

Sewing

• Corrosive chemical, solvent or heat damage

  Yes

  No

  N/A

• Broken, cut or worn threads

  Yes

  No

  N/A

Carabiners and Snap Hooks

• Distortion of hooks or latch shape

  Yes

  No

  N/A

• Cracks

  Yes

  No

  N/A

• Excessive wear at swivels and latch pivot pin

  Yes

  No

  N/A

• Open rollers

  Yes

  No

  N/A

• Free movement of the latch over its full travel

  Yes

  No

  N/A

• Broken, weak or missing latch springs

  Yes

  No

  N/A

• Free from dirt, debris or corrosion

  Yes

  No

  N/A

D-rings

• Cracks

  Yes

  No

  N/A

• Damage or distortion of shape

  Yes

  No

  N/A

• Excessive wear

  Yes

  No

  N/A

Buckles and Adjusters

• Damage or distortion of shape

  Yes

  No

  N/A

• Cracks

  Yes

  No

  N/A

• Bent tougues

  Yes

  No

  N/A

• Open rollers

  Yes

  No

  N/A

Ropes/Lanyard

• Cuts

  Yes

  No

  N/A

• Abrasion or fraying

  Yes

  No

  N/A

• Stretching

  Yes

  No

  N/A

• Corrosive chemical, solvent or heat damage

  Yes

  No

  N/A

• Deterioration due to rotting, mildew or ultraviolet exposure

  Yes

  No

  N/A