Harness Inspection
Work Site
*
Antiochian Orthodox Church - Church Project
Ashton - Meadows 5 Bldg 10 - Phase 2
Ashton - Meadows 5 Bldg 11 - Phase 1
Ashton - Meadows 5 Bldg 11 - Phase 2
Ashton - Trinity Church
Bird Construction - Rundle Park
CCR - Peepeekisis Funeral Home (SK)
Cana Construction - Gateway at TSMV - Phase 2A
Caribou - Ptarmingan Lodge Railing
Caribou - Rundlestone Balcony
Chandos - UTI Water Treatment Plant Canmore
Continental - Bigsky 121 YC
Goodform - 900 Railway
Graham(20th) - SFCBS Arbour (SK)
Helmer Residence - Niax
Highpoint - Acent Trellis
Highpoint - Cascade
Highpoint - Cascade Fascia & Screens
John McIsaac - 404 Tranquility
Johnston Builders - Forest Park Hotel
Jonalta Properties - Beaver Street Apartments
JPL - Greeter's Hut
JY Chen - Log Railing 18 Canyon Close
Keller Construction - Belvedere Market
Matt Hoffman - Hoffman Pavilion
Melissa Mills - MillsResidence
Munter Design - Majic Residence
Range - Rundle Park Install
Rarebuilt - Pergola
SBL Contractors (20th) - Thunderchild Powwow Arbour (SK)
SCMV - Black Swift Lodge
SCMV - Malcolm Trellis
SCMV - Mountain Lynx
SCMV - TMV-1000
Studio North - 124 Arthur Laneway
Thompson Builders - Thunder Lake Prov Park
Trailside Lodges Trailside Lodge Remediation
Woodpecker
Type Work Site if not listed
Name of Inspector
*
Dan Bryant
David Lane
Drake Orr
Fabien Macdonnell
Finn Klinkenberg
Jack Mobbs
Jason Paradis
Kaleb Blough
Laurence Philippo
Lindsey Manning
Lukas Scharl
Marek Stevko
Nicholas McClean
Pavel Hajek
Peter Jancovic
Rafael Pinho
Rolf Zingerli
Roman Knauer
Sara Harris
Stefan Kubis
Thomas Larouche-Thibault
Tomas Balcarek
Ulises A. Cabrera Miranda
Other
Name of Inspector old
First Name
Last Name
Email
example@example.com
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
Inspector's Signature
*
Submit
Should be Empty: