Fall Arrest System Inspection Form

Inspected by(Required)
MM slash DD slash YYYY

LABELS & MARKINGS

Label (intact & Legible)
Appropriate ANSI/OSHA/CSA markings
Inspections are current/up to date
Impact indicator (signs of deployment)

HARDWARE (BUCKLES AND D-RINGS)

Shoulder adjustment buckles
Leg and waist buckles/Other hardware
D-rings (dorsal/side/shoulder/sternal)
Corrosion, pitting, nicks

WEBBING

Shoulder/Chest/Leg/Backstraps
Cuts/Burns/Holes
Paint contamination
Excessive wear
Heat/UV damage

STITCHING

Shoulder/Chest/Leg/Backstraps

FINAL RECOMMENDATION

Final Recommendation