Fall Protection Equipment Checklist
Fall protection equipment should be inspected by “competent” workers, who can use this checklist to ensure that this equipment is in good condition and safe to use. Adapt the checklist for the fall protection equipment in your workplace, safety laws, and the requirements or recommendations from the equipment’s manufacturer.
Inspector:___________________________ Date:_______________________
Company:___________________________ User:_______________________
Serial#:_____________________________ Model#:____________________
Manufacturer:________________________ Date of Man.:_______________
| YES | NO | COMMENTS | |
| HARNESS | |||
| Webbing: Frayed? Worn? Rotted? | |||
| D-rings: Worn? Bent? Cracked? | |||
| Buckles: Corroded? Deformed? | |||
| Eyelets: Corroded? Deformed? | |||
| Stitching: Frayed? Worn? Rotted? | |||
| Load indicator: Intact? | |||
| LANYARDS | |||
| Webbing/rope/cable: Frayed? Worn? Rotted? | |||
| Snap hooks: Locking? Corroded? | |||
| Shock absorber: Intact? Unopened? | |||
| Splicing/stitching: Frayed? Worn? Rotted? | |||
| ANCHORAGE CONNECTORS | |||
| Webbing: Frayed? Worn? Rotted? | |||
| D-rings: Worn? Bent? Cracked? | |||
| Mechanical parts: Corroded? Bent? Cracked? | |||
| Pins/locking devices: Corroded? Bent? Cracked? Missing? | |||
| Load indicator: Intact? | |||
| Function: Slides/tieback? | |||
| RETRACTABLES/PFL/SRL | |||
| Outer case: Corroded? Bent? Cracked? | |||
| Webbing/cable: Frayed? Worn? Burned? | |||
| Snap hooks: Locking? Corroded? Deformed? | |||
| Load indicator: Intact? | |||
| Function: Lockup? Non-locking? | |||
800-ICW-SAFETY (800.429.7233)
SAFETYOnDemand@icwgroup.com



