3M PROTECTA 1150909 Manuel D'instructions page 12

Serial Number(s):
Model Number:
Inspected By:
Component: Inspection:
Inspect Snap Hooks, Carabiner, Rebar Hooks, etc. for signs of damage,
Carabiners
corrosion, and proper working condition. Where present: Swivels (A)
& D-rings
should rotate freely, and Carabiner and Hook Gates (B) should open,
(Figure 8)
close, lock, and unlock properly.
Inspect webbing; material must be free of cuts (A), frays (B), or broken
Web Lanyards fibers. Check for tears, abrasions, heavy soiling (C), mold, burns (D), or
Webbing and Stitching discoloration. Inspect stitching; Check for pulled or cut stitches. Broken
(Figure 9) stitches may be an indication that the harness has been impact loaded
and must be removed from service.
Labels (Figure 10) All labels should be present and fully legible.
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Corrective Action/Maintenance:
Table 2 – Inspection & Maintenance Log
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Date Purchased:
Date of First Use:
Inspection Date:
Periodic examination next due
date:
Periodic examination next due
date:
Periodic examination next due
date:
Periodic examination next due
date:
Periodic examination next due
date:
Periodic examination next due
date:
Periodic examination next due
date:
Periodic examination next due
date:
Periodic examination next due
date:
Periodic examination next due
date:
Before Competent
Each Use Person