Fall Arrest Equipment Inspection Checklist
Use this checklist to record the inspection condition, defects, and status of fall arrest equipment before use or during periodic safety checks.
Equipment Identification
Equipment Type
*
Full Body Harness
Lanyard
Self-Retracting Lifeline
Anchorage Connector
Other
Equipment ID / Tag Number
*
Manufacturer
*
Model
Serial Number
Location / Asset Area
*
Inspection Details
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Inspection Type
*
Pre-use
Periodic
Post-incident
Other
Inspector Name
*
First Name
Middle Name
Last Name
Inspector Role or Department
*
Condition Checklist
Harness/Webbing Condition
*
Pass
Fail
Needs Attention
Not Applicable
Stitching Condition
*
Pass
Fail
Needs Attention
Not Applicable
Buckles Condition
*
Pass
Fail
Needs Attention
Not Applicable
D-Rings Condition
*
Pass
Fail
Needs Attention
Not Applicable
Labels/Markings Legibility
*
Pass
Fail
Needs Attention
Not Applicable
Lanyard/Webbing or Cable Condition
*
Pass
Fail
Needs Attention
Not Applicable
Hooks/Carabiners Condition
*
Pass
Fail
Needs Attention
Not Applicable
Energy Absorber and Anchorage Connector Condition
*
Pass
Fail
Needs Attention
Not Applicable
Visible Damage or Wear Observed
*
Visible damage
Wear
Corrosion
Cuts
Fraying
Deformation
Missing parts
Illegible labels
Not applicable
Defects and Action Taken
Were any defects found?
*
No
Yes
Describe the defects
Was the equipment removed from service?
*
No
Yes
Corrective action taken
Next action required
*
Please Select
Repair
Replacement
Reinspection
Discard
None
Inspector Confirmation
Final confirmation
*
Inspection completed
Equipment status recorded
Defects documented, if any
Inspector signature
Submit Inspection
Submit Inspection
Should be Empty: