SAFETY INSPECTION C

Area :- COMMON

section due to
damage of the
a)Distortion

movement of the
latch over its full
loss of cross-
b)Excessive
cuts, burns,
Inspect for

a)Free
physical
or other

D-ring.

wear.
tears
ITEM

travel
Sl No Belt Identification No Webbing D-Ring Hooks

YELLOW - POT LINE,

GREEN - 540 MW, RED
- 1200 MW

1 BALCO/SGB/FBH-01 OK NO NO YES
2 BALCO/SGB/FBH-02 OK NO NO YES
3 BALCO/SGB/FBH-03 OK NO NO YES
4 BALCO/SGB/FBH-04 OK NO NO YES
5 BALCO/SGB/FBH-05 OK NO NO YES
6 BALCO/SGB/FBH-06 OK NO NO YES
7 BALCO/SGB/FBH-07 OK NO NO YES
8 BALCO/SGB/FBH-08 OK NO NO YES
9 BALCO/SGB/FBH-09 OK NO NO YES
10 BALCO/SGB/FBH-10 OK NO NO YES
Approved by area in charge-
Name- MR KOUSTUBH TRIPATHI
Signature of site INCHARGE : - MR MA
Signature-
 HMA (BALCO)
SAFETY INSPECTION CHECKLIST FOR Full body Harness (Safety Belt)

Date:- 04/03/2023 Checked By:- NAVNEET CHAUDHARY

springs (compare

Hook properly
a) Both

harness used
b)Broken,

by polyamide
new snap hook)
misplaced latch

Its adjusters
if possible with

pulled or cut

Lanyard and
acceptable)

attached to
Inspect for
& Physical

polyamide

each other
b)
condition
physical

Is safety
Lanyard

ropes is
damage

stitches
weak or

(Only

rope
Hooks Buckles Stitching Lanyard

NO NO YES OK YES YES

NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES

gnature of site INCHARGE : - MR MADAN CHAUHAN Signature of Safety Officer :- ABHISHEK MASIH
ABHISHEK MASIH
Is Safety
harness tested

EET CHAUDHARY

OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
& tagiing are
done.

Lebels
Make certain
all labels are

OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
securely held
in place and
legible

Physical
condition
(Plastic

OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
Raping is
proper
condition )
Energy Absorber

YES
YES
YES
YES
YES
YES
YES
YES
YES
YES

FIT to USE
TAG
GREEN

ISSUES
 SAFETY INSPECTION C

Area :- COMMON

section due to
damage of the
a)Distortion

movement of the
latch over its full
loss of cross-
b)Excessive
cuts, burns,
Inspect for

a)Free
physical
or other

D-ring.

wear.
tears
ITEM

travel
Sl No Belt Identification No Webbing D-Ring Hooks

YELLOW - POT LINE,

GREEN - 540 MW, RED
- 1200 MW

1 BALCO/SGB/FBH-01 OK NO NO YES
2 BALCO/SGB/FBH-02 OK NO NO YES
3 BALCO/SGB/FBH-03 OK NO NO YES
4 BALCO/SGB/FBH-04 OK NO NO YES
5 BALCO/SGB/FBH-05 OK NO NO YES
6 BALCO/SGB/FBH-06 OK NO NO YES
7 BALCO/SGB/FBH-07 OK NO NO YES
8 BALCO/SGB/FBH-08 OK NO NO YES
9 BALCO/SGB/FBH-09 OK NO NO YES
10 BALCO/SGB/FBH-10 OK NO NO YES
Approved by area in charge-
Name- MR KOUSTUBH TRIPATHI
Signature of site INCHARGE : - MR MA
Signature-
 HMA (BALCO)
SAFETY INSPECTION CHECKLIST FOR Full body Harness (Safety Belt)

Date:- 03/04/2023 Checked By:- NAVNEET CHAUDHARY

springs (compare

Hook properly
a) Both

harness used
b)Broken,

by polyamide
new snap hook)
misplaced latch

Its adjusters
if possible with

pulled or cut

Lanyard and
acceptable)

attached to
Inspect for
& Physical

polyamide

each other
b)
condition
physical

Is safety
Lanyard

ropes is
damage

stitches
weak or

(Only

rope
Hooks Buckles Stitching Lanyard

NO NO YES OK YES YES

NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES

gnature of site INCHARGE : - MR MADAN CHAUHAN Signature of Safety Officer :- ABHISHEK MASIH
ABHISHEK MASIH
Is Safety
harness tested

EET CHAUDHARY

OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
& tagiing are
done.

Lebels
Make certain
all labels are

OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
securely held
in place and
legible

Physical
condition
(Plastic

OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
Raping is
proper
condition )
Energy Absorber

YES
YES
YES
YES
YES
YES
YES
YES
YES
YES

FIT to USE
TAG
GREEN

ISSUES
 SAFETY INSPECTION C

Area :- COMMON

section due to
damage of the
a)Distortion

movement of the
latch over its full
loss of cross-
b)Excessive
cuts, burns,
Inspect for

a)Free
physical
or other

D-ring.

wear.
tears
ITEM

travel
Sl No Belt Identification No Webbing D-Ring Hooks

YELLOW - POT LINE,

GREEN - 540 MW, RED
- 1200 MW

1 BALCO/SGB/FBH-01 OK NO NO YES
2 BALCO/SGB/FBH-02 OK NO NO YES
3 BALCO/SGB/FBH-03 OK NO NO YES
4 BALCO/SGB/FBH-04 OK NO NO YES
5 BALCO/SGB/FBH-05 OK NO NO YES
6 BALCO/SGB/FBH-06 OK NO NO YES
7 BALCO/SGB/FBH-07 OK NO NO YES
8 BALCO/SGB/FBH-08 OK NO NO YES
9 BALCO/SGB/FBH-09 OK NO NO YES
10 BALCO/SGB/FBH-10 OK NO NO YES
Approved by area in charge-
Name- MR KOUSTUBH TRIPATHI
Signature of site INCHARGE : - MR MA
Signature-
 HMA (BALCO)
SAFETY INSPECTION CHECKLIST FOR Full body Harness (Safety Belt)

DATE 02/05/2023 Checked By:- NAVNEET CHAUDHARY

springs (compare

Hook properly
a) Both

harness used
b)Broken,

by polyamide
new snap hook)
misplaced latch

Its adjusters
if possible with

pulled or cut

Lanyard and
acceptable)

attached to
Inspect for
& Physical

polyamide

each other
b)
condition
physical

Is safety
Lanyard

ropes is
damage

stitches
weak or

(Only

rope
Hooks Buckles Stitching Lanyard

NO NO YES OK YES YES

NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES
NO NO YES OK YES YES

gnature of site INCHARGE : - MR MADAN CHAUHAN Signature of Safety Officer :- ABHISHEK MASIH
ABHISHEK MASIH
Is Safety
harness tested

EET CHAUDHARY

OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
& tagiing are
done.

Lebels
Make certain
all labels are

OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
securely held
in place and
legible

Physical
condition
(Plastic

OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
Raping is
proper
condition )
Energy Absorber

YES
YES
YES
YES
YES
YES
YES
YES
YES
YES

FIT to USE
TAG
GREEN

ISSUES