Harness Inspection Checklist Item Description: Location: Model # Serial # In Service Date: Date of Manufacture: TRADEPERSONS ONLY) Impact Indicator (where applicable) Connectors Yes No Comment Yes No Comment Cracked Sharp edges Damaged Missing Parts Missing Corroded Deployed Labelled / Reserve marked lifeline Bent / deployed if distorted applicable Sticky Gates Stays open / Buckles Wont lock Yes No Comment Excess dirt / Cracked grease Poor function Closes but Missing Parts lock doesn’t Corroded Single Burrs/sharp Action (no edges lock on gate) Bent/distorted Damaged Plastic Keepers Yes No Comment Labels Missing Yes No Comment Damaged Present and attached D-Ring Plate (Back Pad) Legible Yes No Comment D-Rings Missing Yes No Comment Damaged Cracked Welded Bent/distorted Stitching Corroded Sharp Edges Yes No Comment Cut Labels Broken Yes No Comment Pulled Present Missing stitch and patterns attached Burned Legible
Harness Inspection Checklist Item Description: Model # In Service Date: TRADEPERSONS ONLY) Impact Indicator (where applicable) Yes No Comment Damaged Missing Deployed Reserve lifeline deployed if applicable Buckles Yes No Comment Cracked Poor function Missing Parts Corroded Burrs/sharp edges Bent/distorted Damaged Labels Yes No Comment Present and attached Legible D-Rings Yes No Comment Cracked Welded Bent/distorted Corroded Sharp Edges Labels Yes No Comment Present and attached Legible Location: Serial # Date of Manufacture: Connectors Yes No Comment Cracked Sharp edges Missing Parts Corroded Labelled / marked Bent / distorted Sticky Gates Stays open / Wont lock Excess dirt / grease Closes but doesn’t lock Single Action (no lock on gate) Plastic Keepers Yes No Comment Missing Damaged D-Ring Plate (Back Pad) Yes No Comment Missing Damaged Stitching Yes No Comment Cut Broken Pulled Missing stitch patterns Burned
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