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© 2014 Capital Safety 1-800-328-6146 Appendix 1: Inspection Checklist/Logs 51 APPENDIX 1: INSPECTION CHECKLIST/LOGS Inspection Checklist / Log Harness Model: _________________________________________________ Manufacture Date:__________ Serial Number: ______________________ Lot Number: _______________ Purchase Date: ____________ Comments: ______________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ GENERAL FACTORS ACCEPTED / REJECTED SUPPORTIVE DETAILS OR COMMENTS 1.) Hardware: (Includes D-rings, buckles, keepers and back pads) Inspect for damage, distortion, sharp edges, burrs, cracks and corrosion. ACCEPTED REJECTED ___________________________________ ___________________________________ ___________________________________ ___________________________________ 2.) Webbing: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration. ACCEPTED REJECTED ___________________________________ ___________________________________ ___________________________________ ___________________________________ 3.) Stitching: Inspect for pulled or cut stitches. ACCEPTED REJECTED ___________________________________ ___________________________________ ___________________________________ ___________________________________ 4.) Labels: Inspect, make certain all labels are securely held in place and legible. ACCEPTED REJECTED ___________________________________ ___________________________________ ___________________________________ ___________________________________ ACCEPTED REJECTED ___________________________________ ___________________________________ ___________________________________ ___________________________________ ACCEPTED REJECTED ___________________________________ ___________________________________ ___________________________________ ___________________________________ ACCEPTED REJECTED ___________________________________ ___________________________________ ___________________________________ ___________________________________ OVERALL DISPOSITION ACCEPTED REJECTED INSPECTED BY: ________________________________________ DATE INSPECTED: ______________________________________ FULL BODY HARNESS

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APPENDIX 1: INSPECTION CHECKLIST/LOGS

Inspection Checklist / Log

Harness Model: _________________________________________________ Manufacture Date: __________

Serial Number: ______________________ Lot Number: _______________ Purchase Date: ____________

Comments: ______________________________________________________________________________

________________________________________________________________________________________

GENERAL FACTORS ACCEPTED / REJECTED SUPPORTIVE DETAILS OR COMMENTS

1.) Hardware: (Includes D-rings, buckles, keepers and back pads) Inspect for damage, distortion, sharp edges, burrs, cracks and corrosion.

ACCEPTED

REJECTED

____________________________________________________________________________________________________________________________________________

2.) Webbing: Inspect for cuts, burns, tears, abrasion, frays, excessive soiling and discoloration.

ACCEPTED

REJECTED

____________________________________________________________________________________________________________________________________________

3.) Stitching: Inspect for pulled or cut stitches. ACCEPTED

REJECTED

____________________________________________________________________________________________________________________________________________

4.) Labels: Inspect, make certain all labels are securely held in place and legible.

ACCEPTED

REJECTED

____________________________________________________________________________________________________________________________________________

ACCEPTED

REJECTED

____________________________________________________________________________________________________________________________________________

ACCEPTED

REJECTED

____________________________________________________________________________________________________________________________________________

ACCEPTED

REJECTED

____________________________________________________________________________________________________________________________________________

OVERALL DISPOSITION

ACCEPTED

REJECTED

INSPECTED BY: ________________________________________

DATE INSPECTED: ______________________________________

FULL BODY HARNESS

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