Safety Harness Inspection Log Form
Record and review routine safety harness inspections to ensure compliance and equipment safety.
Harness Identification Number
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Full Name
*
First Name
Last Name
Department / Work Area
*
Inspection Status
*
Pass
Fail
Inspection Points Checklist
*
Webbing (cuts, frays, burns)
Stitching Intact
D-Rings/Hardware (corrosion, cracks)
Buckles (functioning, no damage)
Labels/Markings Legible
Other
Defects or Issues Found
Follow-up Actions Required
Next Inspection Due Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: