Safety harness and lanyard inspection record



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SAFETY HARNESS AND LANYARD INSPECTION RECORD

INSPECTED BY (Foreman’s Name)



CREW

DATE

Instructions
All Parts of safety harness are to be checked for wear damage
Use a check () mark for YES or NO
Use an (X) mark for NO or REPLACE
To be inspected QUARTERLY and report turned in to office

HARNESS WEBBING/LEATHER

ALL STITCHING

RIVETS AND EYELETS

D-RINGS AND BUCKLES

BODY PAT (IF APPLICABLE)

HOOK SAFETY LATCH

LANYARD

CERTIFICATION OR DATA TAGS

COMPANY PROVIDED EQUIP.

EMPLOYEE’S NAME EQUIP. SER. #





































































































































































































































































































































































































































Revised Dec 07




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