Title Page
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Site conducted
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Date
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Site / Location:
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Name of Employee
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Employee Position:
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To be Completed Daily For Half & Full Face Mask's . All RPE will be inspected by a competent person and that inspection recorded, any defects will be noted & an action must be raised and the RPE quarantined where appropriate. An individual will not use RPE that is not fit for purpose. Please refer to the attached below SOP - RPE selection & use.
Respirators (Inspections, examinations and tests)
• All employees are to inspect their own RPE for suitability every time before use, and they must sign the daily RPE log to show this has been done.
Supervisor is to ensure that this is completed.
• All RPE issued to asbestos staff is to be stored in a clean state inside the protective plastic boxes provided, when not in use.
• All RPE must have a suitable ID tag fixed to it to identify the owner.
• Thorough examination of RPE by a competent person must be undertaken every month; these records are to be held in office and on site for all jobs.
• Complete RPE monthly check sheets must be retained for a period of 5 years.
Pre-works / Monthly Personal Respirator Inspection
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To be completed by a competent person before the operative is to carry out any works on site any defects must be actioned and closed out before they carry out any works on site.
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Full Face Mask Certificat on site ?
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Respirator Serial Number ?
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Type of respirator ?
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What Mask ?
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Certificate expiry date ?
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CLEAN
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HEAD HARNESS IN GOOD CONDITION
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VISOR FREE FROM DIRTY AND INTACT
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VISOR SEAL, NO EVIDENCE OF DAMAGE
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MOTOR, NO EVIDENCE OF DAMAGE/ WORKING
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE
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AIR FLOW TEST
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By signing you are confirming that the full face mask is fit for purpose & any defects have remedied Mask Checked By ?
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Half Face Mask Certificat on site ?
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Respirator Serial Number ?
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Certificate expiry date ?
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CLEAN
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HEAD HARNESS IN GOOD CONDITION
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SEAL, NO EVIDENCE OF DAMAGE
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE
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AIR FLOW TEST
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By signing you are confirming that the half mask is fit for purpose & any defects have remedied Mask Checked By ?
Daily Respirator Inspection
Monday
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Oprative working on site today ?
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Date of daily inspection ?
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OPRATIVE IS CLEAN SHAVEN
Full Face Mask Ispection
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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VISOR FREE FROM DIRTY AND INTACT ?
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VISOR SEAL, NO EVIDENCE OF DAMAGE ?
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MOTOR, NO EVIDENCE OF DAMAGE/ WORKING ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the full face masks is fit for purpose & any defects have remedied Mask Checked By ?
Half Face Mask Ispection
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Half Face Mask Certificat on site ?
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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SEAL, NO EVIDENCE OF DAMAGE ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the half mask is fit for purpose & any defects have remedied Mask Checked By ?
Tuesday
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Oprative working on site today ?
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Date of daily inspection ?
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OPRATIVE IS CLEAN SHAVEN
Full Face Mask Ispection
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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VISOR FREE FROM DIRTY AND INTACT ?
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VISOR SEAL, NO EVIDENCE OF DAMAGE ?
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MOTOR, NO EVIDENCE OF DAMAGE/ WORKING ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the full face masks is fit for purpose & any defects have remedied Mask Checked By ?
Half Face Mask Ispection
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Half Face Mask Certificat on site ?
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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SEAL, NO EVIDENCE OF DAMAGE ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the half mask is fit for purpose & any defects have remedied Mask Checked By ?
Wednesday
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Oprative working on site today ?
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Date of daily inspection ?
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OPRATIVE IS CLEAN SHAVEN
Full Face Mask Ispection
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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VISOR FREE FROM DIRTY AND INTACT ?
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VISOR SEAL, NO EVIDENCE OF DAMAGE ?
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MOTOR, NO EVIDENCE OF DAMAGE/ WORKING ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the full face masks is fit for purpose & any defects have remedied Mask Checked By ?
Half Face Mask Ispection
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Half Face Mask Certificat on site ?
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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SEAL, NO EVIDENCE OF DAMAGE ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the half mask is fit for purpose & any defects have remedied Mask Checked By ?
Thursday
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Oprative working on site today ?
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Date of daily inspection ?
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OPRATIVE IS CLEAN SHAVEN
Full Face Mask Ispection
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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VISOR FREE FROM DIRTY AND INTACT ?
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VISOR SEAL, NO EVIDENCE OF DAMAGE ?
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MOTOR, NO EVIDENCE OF DAMAGE/ WORKING ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the full face masks is fit for purpose & any defects have remedied Mask Checked By ?
Half Face Mask Ispection
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Half Face Mask Certificat on site ?
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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SEAL, NO EVIDENCE OF DAMAGE ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the half mask is fit for purpose & any defects have remedied Mask Checked By ?
Friday
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Oprative working on site today ?
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Date of daily inspection ?
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OPRATIVE IS CLEAN SHAVEN
Full Face Mask Ispection
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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VISOR FREE FROM DIRTY AND INTACT ?
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VISOR SEAL, NO EVIDENCE OF DAMAGE ?
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MOTOR, NO EVIDENCE OF DAMAGE/ WORKING ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the full face masks is fit for purpose & any defects have remedied Mask Checked By ?
Half Face Mask Ispection
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Half Face Mask Certificat on site ?
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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SEAL, NO EVIDENCE OF DAMAGE ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the half mask is fit for purpose & any defects have remedied Mask Checked By ?
Saturday
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Oprative working on site today ?
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Date of daily inspection ?
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OPRATIVE IS CLEAN SHAVEN
Full Face Mask Ispection
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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VISOR FREE FROM DIRTY AND INTACT ?
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VISOR SEAL, NO EVIDENCE OF DAMAGE ?
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MOTOR, NO EVIDENCE OF DAMAGE/ WORKING ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the full face masks is fit for purpose & any defects have remedied Mask Checked By ?
Half Face Mask Ispection
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Half Face Mask Certificat on site ?
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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SEAL, NO EVIDENCE OF DAMAGE ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the half mask is fit for purpose & any defects have remedied Mask Checked By ?
Sunday
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Oprative working on site today ?
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Date of daily inspection ?
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OPRATIVE IS CLEAN SHAVEN
Full Face Mask Ispection
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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VISOR FREE FROM DIRTY AND INTACT ?
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VISOR SEAL, NO EVIDENCE OF DAMAGE ?
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MOTOR, NO EVIDENCE OF DAMAGE/ WORKING ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the full face masks is fit for purpose & any defects have remedied Mask Checked By ?
Half Face Mask Ispection
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Half Face Mask Certificat on site ?
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IS THE MASK CLEAN ?
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HEAD HARNESS IN GOOD CONDITION ?
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SEAL, NO EVIDENCE OF DAMAGE ?
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FILTER, CORRECT TYPE, FITTED CORRECTLY AND IN DATE ?
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AIR FLOW TEST ?
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By signing you are confirming that the half mask is fit for purpose & any defects have remedied Mask Checked By ?
