Adobe Scan Sep 13, 2021
Adobe Scan Sep 13, 2021
Adobe Scan Sep 13, 2021
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FULLBODY SAFETY HARNESS PRE-USE CHECKLIS
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Serials No. Model Manufacture Date
Lot Pre- use Product life time
Number
Name of the inspector: Occunation:
DATE
11 12 13 14 IS 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 comments
Item I 2 3 4 5 6 7 8 9 10
Webbing
2 Lanyards
Stitching
D-rings
Karabines
Hook ends
Labels
Chest
straps
Leg straps
Sub-pelvic
straps
Waist belt
Buckles
Signature
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S I N O H VD RO C o,~ PO l<AT ION L IM I T' r.'l 0
FULLB ODY SAFET Y HARNE SS PRli:-U SIC CHF.C KUST
Date inspection_.......... .......... .......... .......... ....... N,unc of' Jnspcct
or.... ......... ...... ...... .......... ..... .... •···· · ••·· •· ·
Title.......... .......... .......... .......... .......... ... .......... .......... . .
Item
Weck
I
---
2 3 4
Webbin g comments
Stitching
--
D-rings
-
Karabines Hook
ends
-
Labels
Chest straos
--
Lee: straos
Sub-oelvic straos
Waist belt
Buckles
Users trained to
use
Signature
# of belts safe to
use
# of belt not safe
to use