Harness / Fall Protection Inspection Date of Inspection Place of Inspection Craft Civil Electrical HSE Instrumentation Management Mechanical Odessa Yard Other Condition At Time of Inspection In Service New Storage - Ready for Work Taken Out of Service Manufacturer Name Type of Fall Protection Harness Lanyards - Standard Hooks Lanyards - Rebar Hooks Self Retracting Lanyard - Single Self Retracting Lanyard - Double Cheater Lifeline Other Serial Number Manufacturer's In Service Date Webbing Condition Excellent Good Poor Not Applicable D Ring Condition Excellent Good Poor Not Applicable Buckles & Adjusters Excellent Good Poor Not Applicable Snap Hooks Excellent Good Poor Not Applicable Stitching Excellent Good Poor Not Applicable Cable Condition Excellent Good Poor Not Applicable Lanyards Excellent Good Poor Not Applicable Labels Legible Not Legible Tag Missing Overall Disposition Accepted Rejected Name of Inspector Philip - HSE Mike - HSE Kyle - HSE Other Name of Inspector if Other Send