Title Page
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Conducted on
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Persons Conducting Test
- SSO Murray Lange
- SO Robert Ashworth
- SO Kerin Hicks
- SO Chris Kennedy
- SO Steve Pickering
- SFF Andrew Collins
- SFF Terrence Griffen
- SFF Carl Trask
- QFF Stuart Bailey
- QFF Hadley Buckley
- QFF Simon Byrnes
- QFF Christopher Craig
- QFF Sarah Knight
- QFF Sandi Smith
- QFF Rachelle Stout
- QFF Kieran Woodmass
- FF Peter Barsanti
- FF Simon Dilks
- FF Byron Glover
- FF Kyle Graham
- FF Xan Senele
- FF Carl Mcilwee
- FF Jessie Slade
BA Set Details
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BA Set Number
- LEV 1
- LEV 2
- LEV 3
- LEV 4
- LEV 5
- LEV 6
- LEV 7
- LEV8
- Other (Please type in notes)
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BA Set Test Expiry Date
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BA Mask Number
- LEV 1
- LEV 2
- LEV 3
- LEV 4
- LEV 5
- LEV 6
- LEV 7
- LEV8
- Other (Please type in notes)
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Appliance Location
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Cylinder Number
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Cylinder Pressure
BA Mask Tests
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Are the headstraps fully released?
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COMMS Beep test
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Is there any obvious wear or damage to this mask?
BA Set Tests
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Is there any obvious wear to the BA Bracket?
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Are the waist and shoulder straps fully released?
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Are the buckles in good condition?
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Is the torch working?
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Is the personal line attached and stowed correctly?
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Have the DSU checks been completed?
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Has the High pressure check been completed?
- Warning whistle operating between 50-55bar?
- Check for leaks in the system
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Has the Low pressure check been completed?
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Is the LDV serviceable?
- First Breath Mechanism
- Supplementary Air Supply Valve
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Has the tally tag been filled out correctly?
