Full Body Harness Inspection - Checklist Sample

Model or Part Number: Serial Number: E Inspect Only Webbing Date of Manufacture: El Inspect and Clean El Pass O Send for Repair O Fail

tr Cuts

tr RequiresCleaning

tr Abraded

E Burned
El Overall Deterioration

tr Chemical Damaged D Other

D ExcessiveHeat

Stitching El Cuts D Other

Rivets E Loose

D Broken

El Pass El Burned E Pass

tr Fail tr Missing tr Pulled tr Fail

fl Corroded

tr N/A

u Missing

[1 Damaged

tr Other
Dee Ring Hardware D Cracked El Bent D Otherr Buckles E Cracked EI Bent tr Other El Pass o Elongated

E Fail E corroded tl Sharp Edges

EPass OFail B Elongated D Corroded D Sharp Edges E Function E P a ss tr Fail EN/A ' tl Damaged E Corroded El Pass El Pass OPass E Fail O FaiI OFail

Gromrnets D Loose El Missing Plastic Dee Shim Keepers Labels

Failure of the inspection processor alteration of any component indicates the entire unit must be removed from service. fl Remove from service [J Destroy o Re inspect by manufacturer

Date:

Inspected By:

O2/L7/02

Page35 of 51 Fundamentals of Fall Protection Equipment Inspection