## FALL PROTECTION INSPECTION CHECKLIST

**Description:** Model #:  
**Serial #:**  
**Date of Manufacture:**  
**Inspector:**  
**Date Inspected:**  
**Inspector Signature:**

## Full Body Harnesses

|  | Yes | No | N/A |
| --- | --- | --- | --- |
| 1. All labels are present, legible, and securely attached | □ | □ | □ |
| 2. Nylon webbing is free of cuts, burn marks, and chemical damage | □ | □ | □ |
| 3. Webbing is free of tears, broken fibers, frayed edges, and pulled stitches | □ | □ | □ |
| 4. Buckles are not deformed or cracked, and will operate correctly | □ | □ | □ |
| 5. All grommets are secure and not deformed | □ | □ | □ |
| 6. Harness webbing has no additional holes | □ | □ | □ |
| 7. All rivets are tight and not deformed | □ | □ | □ |
| 8. Tongue/straps show no excessive wear from repeated buckling | □ | □ | □ |

### Lanyard/Shock-Absorbing Lanyard

|  | Yes | No | N/A |
| --- | --- | --- | --- |
| 1. Nylon webbing is free of cuts, abrasions, burn marks, and chemical damage | □ | □ | □ |
| 2. Webbing is free of tears, broken fibers, frayed edges, and pulled stitches | □ | □ | □ |
| 3. Wire rope lanyard is free of cuts, frayed areas, and unusual wearing patterns | □ | □ | □ |
| 4. Shock absorber pack is free of burn holes and tears | □ | □ | □ |
| 5. Shock absorber pack stitching is free of loose strands, rips, and deterioration | □ | □ | □ |
| 6. Flag on shock-absorbing lanyard has not been activated | □ | □ | □ |
| 7. D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges | □ | □ | □ |
| 8. D-rings pivot freely | □ | □ | □ |

### Self-Retracting Lanyards

|  | Yes | No | N/A |
| --- | --- | --- | --- |
| 1. Body has no visible physical damage | □ | □ | □ |
| 2. All back nuts or rivets are tight | □ | □ | □ |
| 3. Nylon strap is free of any burns, kinks, knots, and excessive wear | □ | □ | □ |
| 4. Nylon strap is free of tears, broken fibers, frayed edges, and pulled stitches | □ | □ | □ |
| 5. Nylon strap retracts freely | □ | □ | □ |
| 6. Unit was tested to verify that the locking mechanism is operating correctly | □ | □ | □ |

### Tie-Off Anchorages (D-Ring & Cross Arm Straps, Beam Attachments)

|  | Yes | No | N/A |
| --- | --- | --- | --- |
| 1. Tie-off adaptor is free of cuts, abrasions, burn marks, and chemical damage | □ | □ | □ |
| 2. Tie-off adaptor is free of tears, broken fibers, frayed edges, and pulled stitches | □ | □ | □ |
| 3. Tie-off adaptor is free of signs of deterioration, heat damage, and stretching | □ | □ | □ |
| 4. Unit was tested to verify that the locking mechanism is operating correctly | □ | □ | □ |
| 5. D-rings are free of excessive wear, pits, deterioration, cracks, and sharp edges | □ | □ | □ |
| 6. D-rings pivot freely | □ | □ | □ |