MONTHLY CHECKLIST FOR SAFETY HARNESS
Company name: Hydro one pte ltd
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Name & Signature of Competent Inspector: _________________________________________
Date: __________________________________________
CAN USE
Tags & labels
Snap Hook
Carbineer
Buckle
Attachment
D-rings
Back straps
Shoulder straps
Stitching
Back straps
Leg straps
Body Harness Serial
Number
Chest straps
NO
Shoulder straps
Webbing
Lanyard
condition
Next inspection date:_________________
Shock Energy
Absorber
NOT OK (can’t use)
Leg straps
×
Chest straps
 OK (can use) /
Inspection Date: ________________