Woodruff Full Body Harness Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fall Protection Equipment Information

• Select type of equipment to be inspected:

  Select Harness Lanyard Carabiner SRL Anchor Point Vertical Lifeline Horizontal Lifeline Rope Grab Other

  • Harness
  • Lanyard
  • Carabiner
  • SRL
  • Anchor Point
  • Vertical Lifeline
  • Horizontal Lifeline
  • Rope Grab
  • Other

• Manufacturer

• Model #:

• Asset ID:

• Serial Number:

• Date of Manufacture

• Date of First Use

• Name of Competent Inspector:

Hardware

• Back D-Ring

  Pass

  Fail

  N/A

• Sternum D-Ring

  Pass

  Fail

  N/A

• Waist D-Ring

  Pass

  Fail

  N/A

• Shoulder Adjustment

  Pass

  Fail

  N/A

• Chest & Back Buckle Hardware

  Pass

  Fail

  N/A

• Chest Carabiner

  Pass

  Fail

  N/A

• Leg Straps

  Pass

  Fail

  N/A

• Hardware Notes

Webbing

• Impact Indicator intact

  Pass

  Fail

  N/A

• Shoulder Straps

  Pass

  Fail

  N/A

• Chest & Back Straps

  Pass

  Fail

  N/A

• Waist Straps

  Pass

  Fail

  N/A

• Deterioration

  Pass

  Fail

  N/A

• Leg Straps

  Pass

  Fail

  N/A

• Cuts

  Pass

  Fail

  N/A

• Burns

  Pass

  Fail

  N/A

• Holes

  Pass

  Fail

  N/A

• Paint Damage

  Pass

  Fail

  N/A

• Webbing Notes

Stitching

• Shoulder Strap

  Pass

  Fail

  N/A

• Chest & Back Straps

  Pass

  Fail

  N/A

• Waist Straps

  Pass

  Fail

  N/A

• Leg Straps

  Pass

  Fail

  N/A

• Stitch Notes

Labels/Tags

• Appropriate ANSI/OSHA Markings (ANSI Z359/ANSI A10.32-12, OSHA 1910 & 1926 Subpart M)

  Yes

  No

  N/A

• Legible Label

  Yes

  No

  N/A

• Label/Tag Notes