Your Full Name (required)

Which Harness are you inspecting?
1 - Blue Harness and rope serial number 0133

If any of the points aren't relevant select yes.

Are the following satisfactory and in working order?

Is the stitching intact without damange?
YesNo

Is the karabiner (clip) in working order?
[radio karabiner (latch) "Yes" "No"]

Are the plactic components free of cracks?
YesNo

Is the harness the original colour without any discolouring?
YesNo

Is the rope in good condition without wear?
YesNo

If no to any questions explain below or if you have any additional comments or safety concerns?

This form will be stamped with the date and time at time of submission and will be stored on our secure servers for the purpose of traceability.

By clicking submit, I confirm and acknowledge, I understand the legal importance of recording accurate information required for Health & Safety compliance purposes, and the submission of incorrect, false information could increase the risk of serious injury and could lead to disciplinary actions as appropriate.

By clicking submit. I have confirmed the details entered above are correct at the time of inspection.

Submitted forms are automatically sent to The Factory Managers for actioning.