It is an object of the present invention to provide an aerial optical fiber cable inspection method, an aerial optical fiber cable inspection device, and a program which can identify a cable sagging section from vibration sensing results. In the aerial optical fiber cable inspection method according to the present invention, a vibration distribution waveform along the longitudinal direction of an aerial optical fiber cable measured using an optical fiber vibration sensing device is received as an input, a standard deviation of the amplitude of vibration at each position in the vibration distribution waveform is calculated, and a section with a standard deviation larger than that of other sections is identified as a cable sagging section.