Harness Inspection
Work Site
*
3rd Street - Findlay
345 Otter Street -Carriage House
8th & 8th
Banff Firehall
Banff Gondola
Banff Park Lodge
Bear Street Parkade
Bow Valley Credit Union
BMSH Generator
BPL Staff Accommodation -Alpine Apartments
Brookside
Caribou Street BECL
Cascade Plaza
Devonian - Meadows
Mountain Animal Hospital
Pursuit Banff Transit Depot
Rimrock Resort Hotel
Spring Bank HSS
Town of Banff Townhall
Wolf Street
YWCA
If not listed above type job site here
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 guard rails?
*
Yes
No
Has a Fall Protection Plan been completed for this particular work already?
*
Yes
No
Inspector's Signature
*
Submit
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