FULL BODY HARNESS

Monthly Inspection Checklist

Company: Advance Construction technology Color Code:Yello Month:August

Notes: Do not “tick”. Write “OK” if in good condition. If the item is defective it must be tagged “Defective” and returned to
the site store. If the item is beyond repair, it must be quarantined/ discarded.

Fall Arrest D-ring/ Shoulder

Serial Number of Lanyard Shock
Sl.no Attachment Carabiner/ Straps/ Remarks
Safety Harness /Hook Absorber
(FAA) Buckles Thigh Straps
1 05102 Single ok ok ok ok Safe to use

2 00166 Single ok ok ok ok Safe to use

3 00342 Single ok ok ok ok Safe to use

4 00140 Single ok ok ok ok Safe to use

5 042828 Single ok ok ok ok Safe to use

6 02014 Single ok ok ok ok Safe to use

7 042828a Single ok ok ok ok Safe to use

8 42927 Single ok ok ok ok Safe to use

9 00183 Single ok ok ok ok Safe to use

10 08504 Single ok ok ok ok Safe to use

11 00137 Single ok ok ok ok Safe to use

12 05098 Single ok ok ok ok Safe to use

13 03770 Single ok ok ok ok Safe to use

14 00159 Single ok ok ok ok Safe to use

15 162205 Single ok ok ok ok Safe to use

16 162214 Single ok ok ok ok Safe to use

17 05139 Single ok ok ok ok Safe to use

18 162051 Single ok ok ok ok Safe to use

19 04558 Single ok ok ok ok Safe to use

20 05743 Single ok ok ok ok Safe to use

Inspected by: Verified by:

(Supervisor / Foreman) (HSE Officer)
Name& Sign: Name& Sign:

Full Body Harness Rev A

Monthly Inspection Checklist
 FULL BODY HARNESS
Monthly Inspection Checklist

Company: Color Code: Month:

Notes: Do not “tick”. Write “OK” if in good condition. If the item is defective it must be tagged “Defective” and returned to
the site store. If the item is beyond repair, it must be quarantined/ discarded.

Fall Arrest D-ring/ Shoulder

Serial Number of Lanyard Shock
Sl.no Attachment Carabiner/ Straps/ Remarks
Safety Harness /Hook Absorber
(FAA) Buckles Thigh Straps
21 162187 Single ok ok ok ok Safe to use

22 00018 Single ok ok ok ok Safe to use

23 00013 Single ok ok ok ok Safe to use

24 00020 Single ok ok ok ok Safe to use

25 05110 Single ok ok ok ok Safe to use

26 05119 Single ok ok ok ok Safe to use

27 00344 Single ok ok ok ok Safe to use

28 00011 Single ok ok ok ok Safe to use

29 00170 Single ok ok ok ok Safe to use

30 20118 Single ok ok ok ok Safe to use

31 00182 Single ok ok ok ok Safe to use

32 00139 Single ok ok ok ok Safe to use

33 00341 Single ok ok ok ok Safe to use

34 00169 Single ok ok ok ok Safe to use

35 00309 Single ok ok ok ok Safe to use

36 16209 Single ok ok ok ok Safe to use

37 00136 Single ok ok ok ok Safe to use

38 00138 Single ok ok ok ok Safe to use

39 28380 Single ok ok ok ok Safe to use

40 00158 Single ok ok ok ok Safe to use

Inspected by: Verified by:

(Supervisor / Foreman) (HSE Officer)
Name& Sign: Name& Sign:

Full Body Harness Rev A

Monthly Inspection Checklist
 FULL BODY HARNESS
Monthly Inspection Checklist

Company: Color Code: Month:

Notes: Do not “tick”. Write “OK” if in good condition. If the item is defective it must be tagged “Defective” and returned to
The site store. If the item is beyond repair, it must be quarantined/ discarded.

Fall Arrest D-ring/ Shoulder

Serial Number of Lanyard Shock
Sl.no Attachment Carabiner/ Straps/ Remarks
Safety Harness /Hook Absorber
(FAA) Buckles Thigh Straps
41 22489 Single ok ok ok ok Safe to use

42 06320 Single ok ok ok ok Safe to use

43 00184 Single ok ok ok ok Safe to use

44 00168 Single ok ok ok ok Safe to use

45 05644 Single ok ok ok ok Safe to use

46 00016 Single ok ok ok ok Safe to use

47 162040 Single ok ok ok ok Safe to use

48 00017 Single ok ok ok ok Safe to use

49 08040 Single ok ok ok ok Safe to use

50 04223 Single ok ok ok ok Safe to use

51 06317 Single ok ok ok ok Safe to use

52 03937 Single ok ok ok ok Safe to use

Inspected by: Verified by:

(Supervisor / Foreman) (HSE Officer)
Name& Sign: Name& Sign:

Full Body Harness Rev A

Monthly Inspection Checklist