3M 306S1043 User Instructions page 19

Serial Number(s):
Model Number:
Inspection Date:
Inspection: (See Section 5 for Inspection Frequency)
Component:
Harness Hardware Inspect harness hardware including buckles (1), adjusters (2), D-rings (3), SRD Loops
(Diagram 1) (4), loop keepers (5), Lanyard Keepers (6), etc. These items must not be damaged,
broken, or distorted, and must be free of sharp edges, burrs, cracks, worn parts, or
corrosion. PVC coated hardware must be free of cuts, rips, tears, holes, etc. in the coating
to ensure non-conductivity. Ensure buckles and adjusters work smoothly.
Webbing & Stitching Inspect webbing; material must be free of frayed, cut, or broken fibers. Check for tears,
(Diagram 2) abrasions, mold, burns, or discoloration. Inspect stitching; Check for pulled or cut
stitches. Broken stitches may be an indication that the harness has been impact loaded
and must be removed from service.
Stitched Impact Indicators The Stitched Impact Indicators are sections of webbing lapped back on themselves and
(Diagram 3) secured with a specific stitch pattern. The stitch pattern is designed to release when
the harness arrests a fall or is exposed to equivalent force. If an Impact Indicator
has been activated (indicated), the harness must be removed from service and
destroyed.
Labels (Figure 15) All labels should be present and fully legible.
Fall Protection Equipment Additional Fall Protection equipment that is used with the product should be installed and
inspected per the manufacturer instructions.
Diagram 1 – Hardware
3
3
1
6
4
5
2
3
1
5
1
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 1 – Inspection and Maintenance Log
6
1
5
2
3
1
5
1
Date Purchased:
Date of First Use:
Inspected By:
Diagram 2 – Webbing
Cut
Frayed
Heavily
Soiled
Welding
Burns
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
Approved By:
Date:
19
User Competent
Person
Diagram 3 – Impact
Indicator
ü Good û
Indicated
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due:
Next inspection due: