Fall Protection Equipment Inspection
Complete this form to document the inspection of fall protection equipment.
Inspector Name
*
First Name
Last Name
Inspection Date
*
-
Month
-
Day
Year
Date
Equipment Type
*
Please Select
Full Body Harness
Lanyard
Self-Retracting Lifeline (SRL)
Anchor Point
Other
Equipment Serial Number or ID
*
Inspection Checklist
*
Rows
Pass
Fail
Webbing/Straps
Buckles/Connectors
Labels/Markings
D-Rings/Attachment Points
Stitching
Overall Cleanliness/Condition
Comments or Observations
Recommendations or Actions Required
Save
Submit Inspection
Should be Empty: