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Model or Part Number: Serial Number: E Inspect Only Webbing Date of Manufacture: El Inspect and Clean El Pass O Send for Repair O Fail
tr Cuts
tr RequiresCleaning
tr Abraded
E Burned
El Overall Deterioration
D ExcessiveHeat
D Broken
tr N/A
u Missing
[1 Damaged
tr Other
Dee Ring Hardware D Cracked El Bent D Otherr Buckles E Cracked EI Bent tr Other El Pass o Elongated
EPass OFail B Elongated D Corroded D Sharp Edges E Function E P a ss tr Fail EN/A ' tl Damaged E Corroded El Pass El Pass OPass E Fail O FaiI OFail
Failure of the inspection processor alteration of any component indicates the entire unit must be removed from service. fl Remove from service [J Destroy o Re inspect by manufacturer
Date:
Inspected By:
O2/L7/02