FACILITY HEALTH, SAFETY AND

ENVIRONMENTAL MANAGEMENT Doc. No.: HSE/2G2/CL/20-003

(HSE)
PAGE 1 OF 1 Effective Date:
(163657-K) SAFETY HARNESS AND LANYARD
02/01/2020
INSPECTION CHECKLIST
REV: 0, ISSUE: 0

Date: ____/____/____ Serial Number Date of Manufactured

Make: _____________ Harness
Model _____________ Lanyard
:
Name: __________________________

CHECK ITEMS PASS FAIL N/A Remarks

WEBBING
Cuts and tears
Abrasion damage from contact with hardware
Excessive stretching
Damage from contact with heat, corrosives or
solvents
Deterioration due to rotting, mildew or ultraviolet
exposure
BUCKLES AND ADJUSTERS
Distortion or physical damage
Cracks and forging laps
Open Rollers
Bent tongues
SEWING
Threads cut, broken, worn
Damaged or weakened from contact with heat,
solvents, mildew, corrosive
DORSAL RING
Cracks at straight / curved intersection
Distortion or physical damage
Loss of cross section due to wear
Excessive movement at attachment to belt / harness
SNAP HOOKS
Distortion of hook or latch
Cracks or forging folds
Wear at swivel and latch pivot pin
Open Roller
Free movement of latch
Free from dirt and other obstruction
Broken, weak or misplaced latch springs
LANYARD
Broken or cracked thimbles or stress indicator
Frayed or broken rope strands
Compatibility of attachment devices
Condition of hardware
Energy absorber pack
Inspector Name Signature