Lumiform / Templates / Fall Protection Harness Inspection Form

Fall Protection Harness Inspection Form

Fall protection harness inspection form. Use this checklist to complete regular inspections of fall protection harness equipment. This template can be used for annual harness inspections, as well as regular inspections to ensure equipment is safe for use.

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Fall Protection Harness Inspection Form

Audit

Inspection Checklist Log

Model Number:

Manufacture Date:

Serial Number:

Lot Number:

Employee Name:

General Inspection Factors

Hardware: (Includes D-rings, buckles, keepers, and back pads) Inspect for damage, distortion, sharp edges, burrs, cracks and corrosion.

Supporting Details:

Webbing: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling, and discoloration.

Supporting Details:

Stitching: Inspect for pulled or cut stitches.

Supporting Details:

Labels: Inspect, make certain all labels are securely held in place and legible

Supporting Details:

Overall Disposition:

Inspected By:

Signature:

Date Inspected:

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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.