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Fall Protection Harness Inspection
Inspection per Cal/OSHA 8 CCR 1670 / ANSI Z359.1
30-DAY INSPECTION TRACKING
🦺
Fall protection equipment must be removed from service immediately after any fall or impact loading. Harnesses showing signs of damage, wear, or deterioration must be destroyed.
📋
Inspection Information
Inspector Name
*
Date
*
District / Base
*
Select District / Base...
Job Site
Prime Contractor Site
Substation
Data Center
Industrial Plant
Commercial Building
Shop / Yard
In Transit
Other
🦺
Harness Information
Manufacturer
Model/Part Number
Serial Number
*
Check History
Date of Manufacture
Assigned To
✓
Inspection Checklist
Labels & Markings
Manufacturer label legible
Pass
Fail
N/A
Model/part number visible
Pass
Fail
N/A
Serial number legible
Pass
Fail
N/A
Date of manufacture readable
Pass
Fail
N/A
Capacity/weight limit visible
Pass
Fail
N/A
Webbing
No fraying or broken fibers
Pass
Fail
N/A
No cuts or tears
Pass
Fail
N/A
No chemical damage or discoloration
Pass
Fail
N/A
No heat/burn damage
Pass
Fail
N/A
No excessive wear or abrasion
Pass
Fail
N/A
Hardware - D-Rings
Back D-ring not cracked or distorted
Pass
Fail
N/A
Back D-ring pivots freely
Pass
Fail
N/A
Side D-rings intact (if equipped)
Pass
Fail
N/A
Front D-ring intact (if equipped)
Pass
Fail
N/A
No corrosion on D-rings
Pass
Fail
N/A
Hardware - Buckles
Buckles function properly
Pass
Fail
N/A
Buckle tongues not bent
Pass
Fail
N/A
Buckle grommets not elongated
Pass
Fail
N/A
Pass-through buckles slide freely
Pass
Fail
N/A
Quick-connect buckles click securely
Pass
Fail
N/A
Shoulder & Leg Straps
Shoulder straps not twisted
Pass
Fail
N/A
Leg straps adjust properly
Pass
Fail
N/A
Stitching intact at all stress points
Pass
Fail
N/A
Padding intact (if equipped)
Pass
Fail
N/A
Additional Components
Lanyard keepers functional
Pass
Fail
N/A
Trauma straps present and accessible
Pass
Fail
N/A
All adjusters slide and hold
Pass
Fail
N/A
No unauthorized modifications
Pass
Fail
N/A
📊
Overall Result
Inspection Result
*
Pass - Approved
Fail - Needs Repair
Removed from Service
📝
Findings & Actions
Deficiencies Found
Corrective Actions
✅ Submit Harness Inspection
AnthroSafe™ Field Driven Safety
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