Harness Inspection
Work Site
*
Alexander Hotel
Black Swift Lodge
Grey Wolf Lodge
MLV 1100/1200
Mountain Lynx Lodge
Multiple Sites
RV
Spring Creek Gate Road Extension
TMV 900/1000
Type in Work Site Name if not listed above
Company
Adlers Fire Stop
Alpine Overhead Doors
Big Horn Sheet Metal
Bow Valley Safety
Bow-Cor Welding
Canglass
Canmore West Eavestrough
Cascade Mechanical
Competition Concrete
Convergint Technologies
Diamond Fireplaces
Downer Contracting
Dust Be Gone
Enlightened Organizing
Gallant Insulation
Guisti
Flipped Canoe Cribbing Inc.
Hellbent Geothermal
Henry's Electric
Heritage Decking
Iceline Waterproofing
KCP Energy
Legacy kitchens
Lomaw Contracting
Master Pools
McCool Construction YYC
Men in Kilts
Mountain Prism Painting
Northstar Fire Protection
Old West Flooring
Oskar
Peter's Exteriors
Primary Engineering
Prime Drywall
Procat Contracting Ltd.
Rgo
S2S Electric
SCMV - Construction
SCMV - Client Care
SCMV - RV/Maintenance
Set in Stone
Thompson Drilling
Tristar Woodworks
Wayco Electric
Woodpecker European Timber Framing
Type company name if not listed above
OLD Company
Please Select
Alpine Overhead Doors
Big Horn Sheet Metal
Bow Valley Safety
Bow-Cor Welding
Canglass
Canmore West Eavestrough
Cascade Mechanical
Competition Concrete
Convergint Technologies
Diamond Fireplaces
Downer Contracting
Dust Be Gone
Enlightened Organizing
Gallant Insulation
Guisti
Hellbent Geothermal
Henry's Electric
Heritage Decking
Iceline Waterproofing
KCP Energy
Legacy kitchens
Lomaw Contracting
Master Pools
McCool Construction YYC
Men in Kilts
Mountain Prism Painting
Northstar Fire Protection
Old West Flooring
Oskar
Peter's Exteriors
Primary Engineering
Prime Drywall
Procat Contracting Ltd.
Rgo
S2S Electric
SCMV - Construction
SCMV - Client Care
SCMV - RV/Maintenance
Set in Stone
Thompson Drilling
Tristar Woodworks
Wayco Electric
Woodpecker European Timber Framing
Name of Inspector
*
First Name
Last Name
Date of Inspection
*
-
Month
-
Day
Year
Date
Harness Part #
Serial #
Date of First Use
-
Month
-
Day
Year
Date
Date of Manufacture
-
Month
-
Day
Year
Date
Harness Configuration
Chest Strap
Pass-Through
Tongue Buckle
Quick-Connect
Leg Straps
Pass-Through
Tongue Buckle
Quick-Connect
Waist Belt
Yes
No
LABELS AND MARKINGS
*
Rows
Pass or Fail
Notes
Label (Intact & Legible)
Pass
Fail
Appropriate ANSI/OSHA/CSA Markings
Pass
Fail
Inspections are Current / Up-to-Date
Pass
Fail
Date of First Use
Pass
Fail
Impact Indicator (Signs of Deployment)
Pass
Fail
HARDWARE (Buckles & D-Rings)
*
Rows
Pass or Fail
Notes
Shoulder Adjustment Buckles
Pass
Fail
Leg & Waist Buckles / Other Hardware
Pass
Fail
D-Rings (Dorsal, Side, Shoulder, or Sternal)
Pass
Fail
Corrosion / Pitting / Nicks
Pass
Fail
WEBBING
*
Rows
Pass or Fail
Notes
Shoulder / Chest / Leg / Back Straps
Pass
Fail
Cuts / Burns / Holes
Pass
Fail
Paint Contamination
Pass
Fail
Excessive Wear
Pass
Fail
Heat / UV Damage
Pass
Fail
STITCHING
Rows
Pass or Fail
Notes
Shoulder / Chest / Leg / Back Straps
Pass
Fail
Are you protected by guardrails?
*
Yes
No
Has a Fall Protection Plan been completed for this particular work already?
*
Yes
No
Inspector's Signature
*
Submit
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