13-F08 Self Contained Breathing Apparatus Inspection
13-F08 Self Contained Breathing Apparatus Inspection
13-F08 Self Contained Breathing Apparatus Inspection
DEPARTMENT:
DATE:
AREA:
Notes: Do not “tick”. Write Ok or use the code of the specific deviation in the legend. If the Equipment is defective it must be tagged “Defective”
and must be reported to the person responsible for the repair of the equipment. If the equipment is beyond repair it must be destroyed and
discarded. New equipment to replace the discarded equipment must be obtained to discourage the use of make shift equipment.
LEGEND: OK – ALL IN GOOD CONDITION, ELM– EQUIPMENT LOST OF MISSING, REP – EQIPMENT BEING REPAIRED, C – COMMENTS
CODE DEVIATIONS CODE DEVIATIONS
S1 Hose connector not properly connected / tight on cylinder fitting S11 Leakage on high pressure hose and connector
S2 Covered or obstructed regulator outlet S12 Defective or damaged face piece
S3 Back and Safety harness assembly incomplete S13 Face piece defective rubber seal
S4 Damaged or fyared strap S14 Apparatus not properly stored
S5 Defective buckles locking function Test
S6 Cracks or damaged backplate or missing rivets or screw Test connections.
S7 Cylinder not properly fastened to backplate Test pressure and leaks.
S8 Damaged or cracked cylinder Test whistle and demand valve.
S9 Expired hydrostatic test date Test tightness of harness and face piece.
S10 Defective cylinder valve Do a 30 second normal operation tes.
ID NO DEPARTMENT LOCATION 1st QUARTER 2nd QUARTER 3rd QUARTER 4th QUARTER
Date of Inspection:
Name of Inspector:
COMMENTS:
ID NO COMMENTS LOG