Inspection Forms Harness

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Inspection form Harness

85310 Rev.A

Harness Part #: Harness Owner / Company:


Configuration:
Chest Strap: PT TB QC
Serial #: Name of Inspector:
Leg Straps: PT TB QC
Date of First Use: waist belt: yes no Signature:
Connection PT: Pass-Through
Date of Manufacture: Legend: Tb: Tongue Buckle
Qc: Quick-Connect Date of Inspection:

Seraph construction harness


labels & markings Pass fail Note (pt chest, tb waist, & tb legs)
Label (Intact & Legible) Shoulder Straps

Appropriate ANSI/OSHA/CSA Markings Chest Strap


Inspections are Current / Up-to-Date Adjustment
Buckles
Date of First Use
Impact Indicator (Signs of Deployment)

HARDWARE (BUCKLES & D-RINGS) Pass fail Note Side D-Rings


Shoulder Adjustment Buckles
Waist Belt
Leg & Waist Buckles / Other Hardware
D-Rings (Dorsal, Side, Shoulder, or Sternal) Leg Straps

Corrosion / Pitting / Nicks


Velocity harness
Webbing Pass fail Note (PT chest & legs)
Shoulder / Chest / Leg / Back Straps
Cuts / Burns / Holes Dorsal D-Ring

Paint Contamination Labels


Excessive Wear
Back Strap
Heat / UV Damage Impact
Indicators
stitching Pass fail Note
Shoulder / Chest / Leg / Back Straps

Notes

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