AMNS EXPANSION PROJECT

HAZIRA, SURAT

Full body Harness inspection HSE Checklist

Name of Contractor: Date:

Type of Harness Doc. No :

Identification No. of full body Harness

Description Of Check Points Remark.
S.No
Hard wares - (D-Rings, Buckles, Back Pad) Any damage, distortion, sharp
1 edges, burrs, cracks and corrosion
Webbings – Any cuts, burns, tears, abrasion, frays, excessive soiling and
2 discoloration.

3 Stitching – Any pulled or cut stitches.

Lanyards (Double)
a) Hard wares - (D-Rings) Any damage, distortion, sharp edges, burrs, cracks
1 and corrosion
2 c) Stitching – Any pulled or cut stitches
d) Synthetic rope – Any pulled or cut yarns, burns, abrasion, knots, excessive
3 soiling and discoloration
Anchoring Hook
a) Hard wares – (D-Rings) Any damage, distortion, sharp edges, burrs, cracks
1 and corrosion
b) Physical damage – Any cracks, sharp edges, deformities and locking
2 operation
3 c) Excessive corrosion – Any corrosion which effects the operation
4 d) Fasteners – Any corrosion, tightness, damage or distortion.
5 RESULT (A: ACCEPTED ,R : REJECTED )
Contractor's Company Client's
Representative Representative Representative

Signature:

Name:

Date: