Fall Protection Inspection Form

Date*

Date

Name*

First NameLast Name

Email (required)*

example@example.com

All parts of body harness and attachments are to be checked for excessive wear and damage. Body harness shall be visually inspected prior to each use.

Is This a Hand Written Inspection?

Yes

Upload Inspection

Browse Files

Body Harness

	Satisfactory	Not Satisfactory	Cause for Removal From Service
Harness Webbing
All Stitching
Rivets and Eyelets
D-rings & Buckle
Body Pad (if applicable)
Lanyard Carabineer
Fall Warning Tag Intact
No Cuts, Corrosion, Burning
Overall Condition

Fall Protection Systems

	Satisfactory	Not Satisfactory	Cause for Removal From Service
Vertical Lifeline
Horizontal Lifeline
Warning Lines
Guard Rails
Retractable Lanyards
Hole Covers
Positioning Devices

Signature