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Inspection form Harness
Harness Part #:
Serial #:
Date of First Use:
Date of Manufacture:
Owner / Company:
Name of Inspector:
Signature:
Date of Inspection:
Harness
Configuration:
Chest Strap:
Leg Straps:
waist belt:
PT
PT
yes
TB
TB
no
QC
QC
HARDWARE(BUCKLES&D-RINGS)
stitching
labels&markings
Webbing
Seraphconstructionharness
(ptchest,tbwaist,&tblegs)
Velocityharness
(PTchest&legs)
Shoulder Adjustment Buckles
Leg & Waist Buckles / Other Hardware
D-Rings (Dorsal, Side, Shoulder, or Sternal)
Corrosion / Pitting / Nicks
Shoulder / Chest / Leg / Back Straps
Label (Intact & Legible)
Appropriate ANSI/OSHA/CSA Markings
Inspections are Current / Up-to-Date
Date of First Use
Impact Indicator (Signs of Deployment)
Shoulder / Chest / Leg / Back Straps
Cuts / Burns / Holes
Paint Contamination
Excessive Wear
Heat / UV Damage
Pass
Pass
Pass
Pass
fail
fail
fail
fail
Note
Note
Note
Note
Notes
Shoulder Straps
Dorsal D-Ring
Chest Strap
Back Strap
Adjustment
Buckles
Impact
Indicators
Side D-Rings
Labels
Waist Belt
Leg Straps
85310 Rev.A
Connection
Legend:
PT: Pass-Through
Tb: Tongue Buckle
Qc: Quick-Connect

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Inspection forms _harness_

  • 1. Inspection form Harness Harness Part #: Serial #: Date of First Use: Date of Manufacture: Owner / Company: Name of Inspector: Signature: Date of Inspection: Harness Configuration: Chest Strap: Leg Straps: waist belt: PT PT yes TB TB no QC QC HARDWARE(BUCKLES&D-RINGS) stitching labels&markings Webbing Seraphconstructionharness (ptchest,tbwaist,&tblegs) Velocityharness (PTchest&legs) Shoulder Adjustment Buckles Leg & Waist Buckles / Other Hardware D-Rings (Dorsal, Side, Shoulder, or Sternal) Corrosion / Pitting / Nicks Shoulder / Chest / Leg / Back Straps Label (Intact & Legible) Appropriate ANSI/OSHA/CSA Markings Inspections are Current / Up-to-Date Date of First Use Impact Indicator (Signs of Deployment) Shoulder / Chest / Leg / Back Straps Cuts / Burns / Holes Paint Contamination Excessive Wear Heat / UV Damage Pass Pass Pass Pass fail fail fail fail Note Note Note Note Notes Shoulder Straps Dorsal D-Ring Chest Strap Back Strap Adjustment Buckles Impact Indicators Side D-Rings Labels Waist Belt Leg Straps 85310 Rev.A Connection Legend: PT: Pass-Through Tb: Tongue Buckle Qc: Quick-Connect