INSPECTION CHECKLIST / FULL BODY HARNESS
Model: Date of Manufacture:
Serial Number: Lot Number: Date of Purchase:
Comments:
GENERAL FACTORS PASS/ FAIL NOTES
HARDWARE: PASS
INCLUDING -
• D-rings
• Buckles FAIL
• Keepers
• Back pads
Inspect for damage, distortion, sharp
edges, burrs, cracks and corrosion
WEBBING: PASS
Look for cuts, burns, tears, abrasion,
frays, excessive soiling and discoloration
FAIL
STITCHING: PASS
Look for pulled or cut stitches
FAIL
IMPACT INDICATOR: PASS
Inspect indicator for activation.
FAIL
LABELS: PASS
Ensure all labels are securely held in place
and legible.
FAIL
OVERALL PASS INSPECTED BY:
DISPOSITION
FAIL DATE INSPECTED:
[Link]
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
INSPECTION CHECKLIST / LANYARDS
Model: Date of Manufacture:
Serial Number: Lot Number: Date of Purchase:
Comments:
GENERAL FACTORS PASS/ FAIL NOTES
HARDWARE: PASS
INCLUDING -
• Snap hooks • Thimbles
FAIL
• Carabiners • D-rings
• Keepers
• Adjusters
Inspect for damage, distortion, sharp
edges, burrs, cracks and corrosion
WEBBING: PASS
Look for cuts, burns, tears, abrasion,
frays, excessive soiling and discoloration FAIL
STITCHING: PASS
Look for pulled or cut stitches
FAIL
ROPE: PASS
Inspect for pulled or cut yarns, burns,
abrasion, knots, soiling and discoloration FAIL
CABLE: PASS
Inspect for broken wires, corrosion, kinks
and separation of strands. FAIL
ENERGY ABSORBER: PASS
Inspect for elongation, tears and
excessive soiling FAIL
IMPACT INDICATOR: PASS
Inspect indicator for activation.
FAIL
LABELS: PASS
Ensure all labels are securely held in place
and legible. FAIL
OVERALL PASS INSPECTED BY:
DISPOSITION DATE INSPECTED:
FAIL
[Link]
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
INSPECTION CHECKLIST / SELF-RETRACTING LIFELINES
Model: Date of Manufacture:
Serial Number: Lot Number: Date of Purchase:
Comments:
GENERAL FACTORS PASS/ FAIL NOTES
IMPACT INDICATOR: PASS
Inspect indicator for activation.
FAIL
SCREWS / FASTENERS: PASS
Inspect for damage and ensure all screws
and fasteners are tight. FAIL
HOUSING: PASS
Inspect for distortion, cracks, corrosion
and other damage. FAIL
LIFELINE: PASS
Inspect for cuts, burns, tears, abrasion, frays,
excessive soiling and discoloration, broken FAIL
wires.
LOCKING ACTION: PASS
Inspect for proper lock-up of
brake mechanism FAIL
RECTRACTION / EXTENSION: PASS
Check tension by pulling lifeline out fully and
allowing it to retract fullly (no slack). FAIL
HOOKS / CARABINER: PASS
Look for physical damage, corrosion, proper
operation and markings. FAIL
LABELS: PASS
Ensure all labels are securely held in place
and legible. FAIL
OVERALL PASS INSPECTED BY:
DISPOSITION DATE INSPECTED:
FAIL
[Link]
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
INSPECTION RECORD
Model:
Serial Number:
Date of Manufacture:
INSPECTION
INSPECTOR COMMENTS PASS/ FAIL CORRECTIVE ACTION NEEDED APPROVED BY
DATE
[Link]
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
