Sheet1
submitter
PPE Inspection Checklist

Date   
Project  MT SOPHIA

1. Serial Number
Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

2. Serial Number
Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

 

3. Serial Number
Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

 

4. Serial Number
Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

 

5. Serial Number
Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

 

6. Serial Number
Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

 

7. Serial Number
Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

8. Serial Number
Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

9. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

10. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

11. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

12. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

13. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

14. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

15. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

16. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

17. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

18. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

19. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

20. Serial Number

Body Harness    
Energy Absorber / Fall Arrestor   

Lanyard   

Belt   

Life Line   

Type of PPE ; Fall Protection

No burns   

No cuts   

No loose stitching   

No fray   

No discolouration   

Rivet(s)   

Eyelet(s)   

D-Ring(s)   

Buckle(s)   

Deceleration Device   

Hook Safety Latch   

Tested by a certified body   

Legend; ü = OK / No defect, x = Not OK / Defect(s) found, NA = Not Applicable
Inspected By    
Signature
SIGN