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(W/ LANYARD) Harness Pre-Use Inspection Form

The Harness Pre-Use Inspection Form provides a detailed checklist to assess the condition of webbing, stitching, hardware, and labels for both components, helping to identify potential risks or wear.
Ergon - Manor
01/13/2025

(W/ LANYARD) Harness Pre-Use Inspection Form

The Harness Pre-Use Inspection Form provides a detailed checklist to assess the condition of webbing, stitching, hardware, and labels for both components, helping to identify potential risks or wear.

    Webbing - Check for cuts, burns, holes, excessive soiling, or any other significant deterioration

    Shoulder straps

    • Pass
    • Flag
    • Fail

    Chest straps

    • Pass
    • Flag
    • Fail

    Leg straps

    • Pass
    • Flag
    • Fail

    Back straps

    • Pass
    • Flag
    • Fail

    Lanyard

    • Pass
    • Flag
    • Fail

    Stitching - Check for cut, pulled, or stitching damaged in any significant fashion

    Shoulder straps

    • Pass
    • Flag
    • Fail

    Chest straps

    • Pass
    • Flag
    • Fail

    Leg straps

    • Pass
    • Flag
    • Fail

    Back straps

    • Pass
    • Flag
    • Fail

    Lanyard (check to ensure lanyard has not been deployed in fall)

    • Pass
    • Flag
    • Fail

    Hardware - Check for sharp edges, burns, cracks, bending, or corrosion

    Shoulder straps

    • Pass
    • Flag
    • Fail

    Chest straps

    • Pass
    • Flag
    • Fail

    Leg straps

    • Pass
    • Flag
    • Fail

    Back straps

    • Pass
    • Flag
    • Fail

    Lanyard

    • Pass
    • Flag
    • Fail

    Labels & Tags - Check to make sure that all labels have appropriate marking (OSHA, ANSI, etc.), are legible, and securely attached

    Labels in good condition for HARNESS

    • Pass
    • Flag
    • Fail

    Labels in good condition for LANYARD

    • Pass
    • Flag
    • Fail

    Date of inspection

    Completed By

Source: Ergon - Manor (Community Member)

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