fall arrest harness inspection report - lsci · fall arrest harness inspection report...
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Lancaster Safety Consulting, Inc.
100 Bradford Road, Suite 100 Wexford, PA 15090 Phone: (888) 403-6026 Fax: (724) 776-1007 www.LancasterSafety.com Page 1 of 1
Fall Arrest Harness Inspection Report
Department/Location: ____________________________________________________________
Equipment: ________________________________________________ ID No.: ___________
Item Satisfactory Needs Action Follow Up
1. Harness Inspection (Belts and Rings)
2. Harness Inspection (Buckles and
3. D-Ring)
4. Harness Inspection (Tongue Buckle)
5. Harness Inspection (Friction Buckle)
6. Lanyard Inspection (Snaps)
7. Lanyard Inspection (Thimbles)
8. Steel Lanyard
9. Web Lanyard
10. Rope Lanyard
11. Shock Absorbing Packs
Please provide additional comments/recommendations below for all items noted in the "Needs Action" column.
Document completion of recommendations and/or "Needs Action" items in "Follow Up" column.
Comments/Recommendations: __________________________________________________________
____________________________________________________________________________________
Inspected By: ______________________________________________ Date: _____________
Reviewed By: ______________________________________________ Date: _____________