Fall Protection Equipment Inspection
Complete this form to document the inspection of fall protection equipment.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment Type
*
Please Select
Full Body Harness
Lanyard
Self-Retracting Lifeline (SRL)
Anchor Point
Other
Equipment Serial Number or ID
*
Equipment Location
Inspection Checklist
*
Rows
Pass
Fail
Webbing/Straps
1
2
Buckles/Connectors
3
4
Labels/Markings
5
6
D-Rings/Attachment Points
7
8
Stitching
9
10
Overall Cleanliness/Condition
11
12
Comments or Observations
Recommendations or Actions Required
Submit Inspection
Should be Empty: