Specification

Serial Number:____________________________________
Pass
Remove From Service
Inspector Name: __________________________________________________ Inspection Date: _______________________
Model Number: ______________________Manufacture Date:__________________Date of First Use:__________________
For more information, please see user instructions sent with the product at the time of shipment.
Hardware/Buckles/Grommets
All hardware must be free of cracks, sharp edges, deformation, corrosion, or any evidence of defect.
Pass
Remove From Service
Cracks Sharp Edges Deformation Corrosion
Chemical Attack Wear Alteration Excessive Heating
Comments: ___________________________________________________________________________________________
Webbing
To inspect webbing, bend a portion of the webbing 6-8 inches into an upsidedown ‘U’ shape. Continue along all webbing
inspecting for tears, cuts, fraying, abrasion, discoloration, burns, holes, mold, pulled or broken stitches, or other signs of wear
and damage. Adjust all keepers, buckles, padding and D-ring to inspect webbing hidden by these components.
Pass
Remove From Service
Comments: ___________________________________________________________________________________________
Tears Cuts Fraying Abrasion
Discoloration Burns Holes Mold
Pass
Remove From Service
Stitching
Sewn terminations must be secure, complete, and not visibly damaged.
Comments: ___________________________________________________________________________________________
Broken Missing Load Indicator Warning
Pass
Remove From Service
Labels
All markings must be legible and attached to the product.
Illegible Missing
Comments: ___________________________________________________________________________________________
Harness
IS0001 Rev A ©2018 Werner Co. 08/18
Inspection Sheet
WERNER CO. CORPORATE HEADQUARTERS: 93 Werner Rd., Greenville, PA 16125-9499
TEL: [phone] FAX: [phone] www.wernerco.com