FULL BODY HARNESS & LANYARD

INSPECTION RECORD
DLPS-HSE-027/00

Project Name: ____________________________________________________________________________________________________

Date: _____________________ Location: ___________________________________

PHYSICAL INSPECTION
ID Mark / Type of Certificate Capacity √ - Satisfactory X - Defective N/A - Not Applicable Date of Next Inspected
SN Inspection Inspection by
Remarks
Serial Equipment No. (kg) Snap Shock
Webbing Buckles Sewing Ropes
hook Absorber

10

11

12

13

14

15