INSPECTION FORM - Full Body Harness

INSPECTION FORM - Full Body Harness
PCL
USER
MODEL
SERIAL
DATE OF MANUFACTURE

MonthDayYear
Date
Name of Competent Inspector
Date

MonthDayYear
Date
Shoulder Straps Chest & Back Straps
Chest Straps
Leg Straps Cuts Burns Holes Deterioration

Shoulder Straps Chest & Back Straps Waist Straps
Buckles
Back D-Ring Waist D-Ring (if applicable) Sternum D-Ring (if applicable)
Waist DRing if applicable
Sternum DRing if applicable
Shoulder Adjustment
Chest Carabiner
Chest Back Buckle Hardware
Leg Straps
Appropriate ANSICSAOSHA Markings
Legible Label
Date of First Use

MonthDayYear
Date
Deterioration - Eaten or worn away by chemicals
Should be Empty: