Safety Harness Inspection Checklist
Manufacturer Name
First Name
Last Name
Industry
Date of Manufacture
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Serial Number #
Inspector Name
First Name
Last Name
Date and Time of Inspection
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspected Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Description of work on which a safety harness will be used
Full body harnesses
Rows
Yes
No
Comments
Does the legible tag identify the harness, model, date of manufacture, name of manufacturer, limitations, and warnings?
1
2
Nylon webbing is free of cuts, burn marks, and chemical damage.
3
4
Webbing is free of tears, broken fibers, frayed edges, and pulled stitches.
5
6
Harness webbing has no additional holes.
7
8
D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges.
9
10
D-rings pivot freely.
11
12
Buckles are not deformed or cracked and will operate correctly.
13
14
All grommets are secure and not deformed.
15
16
All rivets are tight and not deformed.
17
18
Tongue/straps show no excessive wear from repeated buckling.
19
20
Snaphooks
Rows
Yes
No
Comments
Snaphooks have no hook and eye distortions.
21
22
Snaphooks have no cracks and pitted surfaces.
23
24
Keeper latches are not bent, distorted, or obstructed.
25
26
Keeper latches the seat into the nose without binding.
27
28
Keeper springs securely close the keeper latches.
29
30
The locking mechanism was tested to verify that the keeper latches lock properly.
31
32
All rivets are tight and not deformed.
33
34
Tongue/straps show no excessive wear from repeated buckling.
35
36
Type of Lanyard
Please Select
Shock-Absorbing Lanyard
Self-Retracting Lanyards
Positioning Lanyards
Shock-Absorbing Lanyards
Rows
Yes
No
Comments
Nylon webbing is free of cuts, abrasions, burn marks, and chemical damage.
37
38
Webbing is free of tears, broken fibers, frayed edges, and pulled stitches.
39
40
Wire rope lanyard is free of cuts, frayed areas, and unusual wearing patterns.
41
42
Shock absorber pack is free of burn holes and tears.
43
44
Shock absorber pack stitching is free of loose strands, rips, and deterioration.
45
46
The flag on shock-absorbing lanyard has not been activated.
47
48
D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges.
49
50
D-rings pivot freely.
51
52
Self-Retracting Lanyards
Rows
Yes
No
Comments
The body has no visible physical damage.
53
54
All back nuts or rivets are tight.
55
56
The nylon strap is free of any burns, kinks, knots, and excessive wear.
57
58
The nylon strap is free of tears, broken fibers, frayed edges, and pulled stitches.
59
60
Nylon strap retracts freely.
61
62
Unit was tested to verify that the locking mechanism is operating correctly.
63
64
Positioning Lanyards
Rows
Yes
No
Comments
Impact indicator free from rupture of colored stitching, elongated indicator.
65
66
Webbing free from cuts, burns, tears, abrasions, frays, excessive soiling and discoloration, corrosion which effects the operation and/or strength.
67
68
Stitching free from pulled or cut stitches.
69
70
All labels are legible and securely held in place.
71
72
All wire ropes are free from broken wires, corrosion, kinks, and the separation of strands.
73
74
All synthetic ropes are free from pulled or cut yarns, barns, abrasions, knots, excessive soiling, and discoloration.
75
76
Energy-absorbing components are free from elongation, tears, and excessive soiling.
77
78
Tie-Off Adaptors/Anchorages
Rows
Yes
No
Comments
Tie-off adaptor is free of cuts, abrasions, burn marks, and chemical damage.
79
80
Tie-off adaptor is free of tears, broken fibers, frayed edges, and pulled stitches.
81
82
Tie-off adaptor is free of signs of deterioration, heat damage, and stretching.
83
84
The unit was tested to verify that the locking mechanism is operating correctly.
85
86
Horizontal Lifelines
Rows
Yes
No
Comments
All labels are present, legible, and securely attached.
87
88
Lifeline rope has no visible physical damage.
89
90
All metallic parts for evidence of defects, damage, alteration, and missing parts.
91
92
Any Other Comments
Inspector Signature
Submit
Should be Empty: