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Site and construction · SI-13

Harness and Fall Arrest Inspection Record

A free printable harness inspection checklist — equipment identified by serial number, with pre-use and periodic checks, results and actions recorded.

First page of the Harness and Fall Arrest Inspection Record — Tie an inspection record to a specific piece of equipment by serial number, and record what was found and what was done about it.
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2 pages. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.

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Fill it in type and save

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

What this sheet is for

Tie an inspection record to a specific piece of equipment by serial number, and record what was found and what was done about it.

Who it is for

Anyone using fall arrest equipment — roofers, steel erectors, arborists, riggers, window cleaners and the people responsible for their kit.

How to use it

  1. Record the serial number and date of manufacture from the label before anything else.
  2. Take anything failed out of service immediately and quarantine it, rather than leaving it in the van.
  3. Record who inspected it and what makes them competent to do so.
  4. File the sheet for as long as your own rules require.

What is on the sheet

2 pages, in this order:

Page 1

Printed under the title: Pre-use and periodic checks for harnesses, lanyards and anchor lines, with the serial numbers that tie a record to a piece of kit.

The manufacturer and your rules set the criteria. No pass or fail criteria, no inspection intervals and no service life are printed on this sheet. They are set by the manufacturer and by the law where you are working, they differ between products, and detailed inspection usually has to be done by a competent person. Check what applies and record the result here.

How to use this sheet

  1. Record the serial number and date of manufacture from the label. Without them, an inspection record belongs to no particular harness.
  2. Anything failed goes out of service immediately and is quarantined, not left in the van.
  3. Record who inspected it and what makes them competent to.

Write-on lines: Site or company · Equipment type · Sheet started

Equipment on this sheet

Table, 4 rows: ID · Type · Make and model · Serial number · Made · In service · Issued to

Inspections

Page 2

Table, 19 rows: Date · Equipment ID · Pre-use or periodic · Webbing and stitching · Buckles and D-rings · Lanyard and shock pack · Result · Action taken · Inspected by

Write-on lines: Quarantined equipment held at · Next check due

Questions

Why are no pass or fail criteria printed?

Because they are set by the manufacturer for that product, and printing generic ones would be worse than printing none. Detailed inspection also usually has to be done by a competent person, and how often differs by country and by workplace. Check what applies and record the result here.

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