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Serial Number(s):
Model Number:
Inspected By:
Component:
Inspection: (See Section 5 for Inspection Frequency)
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 11)
stitches may be an indication that the harness has been impact loaded
and must be removed from service.
Labels (Figure 12)
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:
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Table 2 – Inspection & Maintenance Log
Date Purchased:
Date of First Use:
Inspection 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:
Approved By:
Date:
Before
Competent
Each
Person
Use
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:
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