Title Page
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Document No.
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6011 EAST HWY 80 MIDLAND, TEXAS PHONE: 432-687-1883 FAX: 432-687-1887
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Conducted on
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Prepared by
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Location
HARNESS INFORMATION AND INSPECTION (GENERAL FACTORS)
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LANYARD MODEL #
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SERIAL #
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LOT #
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MANUFACTURE DATE
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1. HARDWARE: (include snap hooks, carabiners, adjusters, keepers, thimbles and d-rings). Inspect for damage, distortion, sharp edges, burns, cracks, corrosion and proper operation.
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2. WEBBING: Inspect for cuts, burns, tears, abrasions, frays, excessive soiling and discoloration.
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3. STITCHING: Inspect for pulled or cut stitches.
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4. ENERGY ABSORBING COMPONENT: Inspect for elongation, tears and excessive soiling.
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5. LABELS: Inspect to ensure all labels are securely held in place and are legible.
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OVERALL CONDITION
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Comments:
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Inspected by:
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Assigned User
