Working at Heights - Harness & Fall Arrest Check List

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Working at Height - Permit to Work Number

• Have you checked the date is within 10 years of manufacture date?

  Compliant

  Non-Compliant

• Is the rope free of damage? (ie. abrasions, cuts, chemical damage, excessive stretching etc.)

  Yes

  No

• Have you examined all points to ensure the swages have not been cut, broken or damaged by heat or chemicals?

  Yes

  No

  Yes - Not Safe

• Have you examined all hooks, karabiners or attachment devices to ensure there is no corrosion, warping, bending or twisting of metal components?

  Yes

  No

  Yes - Not Safe

• Have you checked the safety gates close and cannot be opened in one action?

  Yes

  No

  Yes - Not Safe

Inspection - Harness

• Have you checked the date is within 10 years of manufacture date?

  Compliant

  Non-Compliant

• Are all labels in tact and legible?

  Yes

  No

• Does the hardness show evidence of excessive wear, fraying, broken fibres or abrasions?

  No

  Yes

• Is there evidence of exposure to acidic, caustic or solvent material? (including paints & oils)

  No

  Yes

• Does the harness have any jammed or restricted mechanisms?

  No

  Yes

• Person carrying out check & using equipment

  Sign

• Permit Authority

  Sign