SCMV Harness Inspection

Harness Inspection
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Company
Name of Inspector*

First NameLast Name
Date of Inspection*

MonthDayYear
Date
Harness Part #
Serial #
Date of First Use

MonthDayYear
Date
Date of Manufacture

MonthDayYear
Date
Harness Configuration
Pass-ThroughTongue BuckleQuick-Connect
Pass-ThroughTongue BuckleQuick-Connect
YesNo

LABELS AND MARKINGS*

Rows	Pass or Fail	Notes
Label (Intact & Legible)
Appropriate ANSI/OSHA/CSA Markings
Inspections are Current / Up-to-Date
Date of First Use
Impact Indicator (Signs of Deployment)

HARDWARE (Buckles & D-Rings)*

Rows	Pass or Fail	Notes
Shoulder Adjustment Buckles
Leg & Waist Buckles / Other Hardware
D-Rings (Dorsal, Side, Shoulder, or Sternal)
Corrosion / Pitting / Nicks

WEBBING*

Rows	Pass or Fail	Notes
Shoulder / Chest / Leg / Back Straps
Cuts / Burns / Holes
Paint Contamination
Excessive Wear
Heat / UV Damage

STITCHING

Rows	Pass or Fail	Notes
Shoulder / Chest / Leg / Back Straps

Harness Configuration