

Verified by

Date / Time
Date and Time
Name of the Inspector

Name of Employee
:
:

Name of Competent Person / Sign

Site ID No.

 For those that are not up to the standard.

Webbing free from
wears, cuts, frays,
burns etc?

Tick for those items that are in a satisfactory condition and

Double lanyards

:
:
provided?

Lanyard free from

broken / frayed
strands?

Lanyards free from

Location / Area

knots?
Signature of Inspector

‘D’ rings,
connectors, free
from rough edges,
:
:

corrosion, dents
and free moving
parts?
Snap hook double
locking and move
freely?

Snap hooks free

from rough edges,
Zuluf Hydrocarbon Project

corrosion, dents
and free moving
parts?
Monthly Full Body Harness Inspection

Harness has valid

label that indicates
life span?
Life span of harness
less then five
years?

Suspension Trauma
Straps

Remarks