Page 1 of 2
FALL ARREST SYSTEM DATE ISSUED:
INSPECTION CHECKLIST
01 OCTOBER 2020
PREPARED BY: SHEQ MANAGER REVISION NO : 00
SHE FORM:027
APPROVED BY : GENERAL MANAGER ISSUE NO: 01
Fall Arrest System Inspection Checklist - Before Use
All fall arrest system components must be inspected before each use! DO NOT use the
equipment IF ANY component fails inspection. (Note what constitutes a failed inspection item.
Notify your supervisor and take the equipment out of service immediately.
YES NO Remarks
Body Harness No./Type: ……………..
Is the Body Harness fully intact?
Are any Tel-Tails visible?
Is there any unintended holes on the harness?
Are any of the straps on the harness
discolored?
Is there any fraying on harness components?
Are all the clips / attachment points present?
Are there any cracked / bent clips or buckles?
Is the harness material for the job being
performed?
Lanyard No./Type: ……………………
Is the lanyard fully intact?
Are any Tel-Tails visible?
Is there any discoloring / fraying or holes in the
fabric?
Are any links bent or stretched (if metal links)?
Are any cable lines snapped or frayed (if cable)?
Is the retracting feature working (if self-
retracting)?
Are any of the clips/attachments cracked or
bent?
Is the lanyard appropriate for the job?
Connectors & Anchor Straps No./Type: ……
Are all hooks and carabineers intact?
Is there a locking mechanism present?
Are any connectors stretched, cracked or
modified?
Has any of the stitching been ripped?
Are any Tel-Tails visible?
Inspected by: ………………………………………… Date: ……………………………….
Signature: ……………………………. Site: ………………………………...
Page 2 of 2
FALL ARREST SYSTEM DATE ISSUED:
INSPECTION CHECKLIST
01 OCTOBER 2020
PREPARED BY: SHEQ MANAGER REVISION NO : 00
SHE FORM:027
APPROVED BY : GENERAL MANAGER ISSUE NO: 01
List of fall arrest equipment Serial No. Status Last inspection
date
Double Lanyard Safety Harness SFTHNS01 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS02 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS03 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS04 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS05 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS06 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS07 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS08 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS09 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS010 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS011 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS012 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS013 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS014 Good 08/12/2022
Double Lanyard Safety Harness SFTHNS015 Good 08/12/2022
