Checklist For Safety Harness Inspection 4k6z20

CHECKLIST FOR SAFETY HARNESS INSPECTION SAFETY HARNESS MONTHLY INSPECTION RECORD Company Name: ____________________________________________ Trade:_____________________ Supervisor-in-charge (Name): _________________________________ Colour code :



 Monthly inspection

1st registration

8) Certification Tag (PSB Test)

7) Snap hook

6) Lanyard Condition

5 ) Shoc k E ne rgy A bs or ber

Absorber

Serial No. Serial No.

4) Karabiner

Shock

3) Buckle Attachment

Employee Name

Badge NO

Body Harness

2) Dorsal Anchorage point

ECC ID

1 ) Harness Condition

Checked Items

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Remarks: (V) Satisfactory/Yes, (X) Not Satisfactory/No, (NA) Not Applicable -

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Check for cracks, dents, deformation, deteoriration, corrosion, stitches, rivets {original), shock absorber packaging, landyard wear & tear.

Inspected by :

Date :

Supervisor in charge

(Name & Signature)

Confirmed by :

Date :

HSE Section

{Name & Signature)