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INSPECTION CHECKLIST / FULL BODY HARNESS

Model: Date of Manufacture:

Serial Number: Lot Number: Date of Purchase:

Comments:

GENERAL FACTORS PASS/ FAIL NOTES

HARDWARE: PASS
INCLUDING -
• D-rings
• Buckles FAIL
• Keepers
• Back pads
Inspect for damage, distortion, sharp
edges, burrs, cracks and corrosion

WEBBING: PASS
Look for cuts, burns, tears, abrasion,
frays, excessive soiling and discoloration
FAIL

STITCHING: PASS
Look for pulled or cut stitches

FAIL

IMPACT INDICATOR: PASS


Inspect indicator for activation.

FAIL

LABELS: PASS
Ensure all labels are securely held in place
and legible.
FAIL

OVERALL PASS INSPECTED BY:


DISPOSITION
FAIL DATE INSPECTED:

www.falltech.com
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
INSPECTION CHECKLIST / LANYARDS
Model: Date of Manufacture:

Serial Number: Lot Number: Date of Purchase:

Comments:

GENERAL FACTORS PASS/ FAIL NOTES

HARDWARE: PASS
INCLUDING -
• Snap hooks • Thimbles
FAIL
• Carabiners • D-rings
• Keepers
• Adjusters
Inspect for damage, distortion, sharp
edges, burrs, cracks and corrosion

WEBBING: PASS
Look for cuts, burns, tears, abrasion,
frays, excessive soiling and discoloration FAIL

STITCHING: PASS
Look for pulled or cut stitches
FAIL

ROPE: PASS
Inspect for pulled or cut yarns, burns,
abrasion, knots, soiling and discoloration FAIL

CABLE: PASS
Inspect for broken wires, corrosion, kinks
and separation of strands. FAIL

ENERGY ABSORBER: PASS


Inspect for elongation, tears and
excessive soiling FAIL

IMPACT INDICATOR: PASS


Inspect indicator for activation.
FAIL

LABELS: PASS
Ensure all labels are securely held in place
and legible. FAIL

OVERALL PASS INSPECTED BY:


DISPOSITION DATE INSPECTED:
FAIL

www.falltech.com
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
INSPECTION CHECKLIST / SELF-RETRACTING LIFELINES
Model: Date of Manufacture:

Serial Number: Lot Number: Date of Purchase:

Comments:

GENERAL FACTORS PASS/ FAIL NOTES

IMPACT INDICATOR: PASS


Inspect indicator for activation.
FAIL

SCREWS / FASTENERS: PASS


Inspect for damage and ensure all screws
and fasteners are tight. FAIL

HOUSING: PASS
Inspect for distortion, cracks, corrosion
and other damage. FAIL

LIFELINE: PASS
Inspect for cuts, burns, tears, abrasion, frays,
excessive soiling and discoloration, broken FAIL
wires.

LOCKING ACTION: PASS


Inspect for proper lock-up of
brake mechanism FAIL

RECTRACTION / EXTENSION: PASS


Check tension by pulling lifeline out fully and
allowing it to retract fullly (no slack). FAIL

HOOKS / CARABINER: PASS


Look for physical damage, corrosion, proper
operation and markings. FAIL

LABELS: PASS
Ensure all labels are securely held in place
and legible. FAIL

OVERALL PASS INSPECTED BY:


DISPOSITION DATE INSPECTED:
FAIL

www.falltech.com
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015
INSPECTION RECORD
Model:

Serial Number:

Date of Manufacture:

INSPECTION
INSPECTOR COMMENTS PASS/ FAIL CORRECTIVE ACTION NEEDED APPROVED BY
DATE

www.falltech.com
1306 S. Alameda St. Compton, CA 90221-4803 (800) 719- 4619 toll free (323) 752-0066 tel © 2015