Safety harness Inspection Checklist Date (M/D/Y ) :

INSPECTED BY : (Signature) Print name : Badge # :

FIELD INSPECTION CHECKLIST FOR SAFETY HARNESS
Safety Harness Serial Number SN# SN# SN#
Condition Defects Condition Defects Condition Defects
Chest Strap with pass through adjuster buckle
Fall Protection

Identification and wearer's Instruction lable

Equipment
Front
Remarks
 Safety Harness Inspection Checklist Date (M/D/Y ) :
INSPECTED BY : (Signature) Print name : Badge # :

FIELD INSPECTION CHECKLIST FOR SAFETY HARNESS

Safety Harness Serial Number SN# SN# SN#
Condition Defects Condition Defects Condition Defects Remarks
Chest Strap with pass through adjuster buckle
Equipment Back Equipment Front

Specify Safety Harness Serial number

Fall Protection

Identification and wearer's Instruction lable

Side D - rings for restraint or positioning
leg Strap adjuster buckles
leg Strap

or Remarks
Back D- ring for fall arrest
Fall Protection

Back pad
Slotted hip pad
Sub - Pelvic strap for added support
Connector shock absorber double lanyard
Safety Harness Serial Number SN# SN# SN#
Condition Defects Condition Defects Condition Defects Remarks
Chest Strap with pass through adjuster buckle
Equipment Back Equipment Front

Specify Safety Harness Serial number

Fall Protection

Identification and wearer's Instruction lable

Side D - rings for restraint or positioning

or Remarks
leg Strap adjuster buckles
leg Strap
Back D- ring for fall arrest
Fall Protection

Back pad
Slotted hip pad
Sub - Pelvic strap for added support
Connector shock absorber double lanyard
Remarks

Saudi Aramco Company General Use