2 Appendix: Inspection Checklist/Logs- Release 2, October 2017
3M Personal Safety Division
Lanyards
Lanyard Model: ________________________________________________ Manufacture Date: _________________________
Serial Number: ______________________ Lot Number: _______________ Purchase Date: ____________________________
Comments: _____________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
GENERAL FACTORS
ACCEPTED/
REJECTED
SUPPORTIVE DETAILS OR COMMENTS
1. Hardware: (Includes snap hooks,
carabiners, adjusters, keepers, thimbles
and D-rings). Inspect for damage,
distortion, sharp edges, burrs, cracks,
corrosion and proper operation.
2. Webbing: Inspect for cuts, burns, tears,
abrasion, frays, excessive soiling and
discoloration.
3. Stitching: Inspect for pulled or cut
stitches.
4. Synthetic Rope: Inspect for pulled or cut
yarns, burns, abrasion, knots, excessive
soiling and discoloration.
5. Wire Rope: Inspect for broken wires,
corrosion, kinks and separation of strands.
6. Energy Absorbing Component: Inspect
for elongation, tears and excessive soiling.
7. Labels: Inspect, make certain all labels are
securely held in place and legible.
Overall Disposition
INSPECTED BY: _____________________________________________
DATE INSPECTED: __________________________________________
ACCEPTED
REJECTED
ACCEPTED
REJECTED
ACCEPTED
REJECTED
ACCEPTED
REJECTED
ACCEPTED
REJECTED
ACCEPTED
REJECTED
ACCEPTED
REJECTED
ACCEPTED
REJECTED