| Item | Condition (✓/?) | Comments |
|---|---|---|
| Anchorage | ||
| Body Harness | ||
| Lanyards | ||
| Connectors | ||
| Lifelines | ||
| Self-Retracting Devices | ||
| Other (specify) |
| Description | OK (✓/?) | Comments |
|---|---|---|
| System properly installed and labeled | ||
| No visible damage or alteration | ||
| Components compatible | ||
| Connections secure | ||
| Sufficient clearance below | ||
| Other safety devices in place |