Information
- Asset Number
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Conducted on
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Prepared by
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Location
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Asset Number
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RPE Inspected
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Type of mask and filters
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Mask is clean
- Good Condition
- Good condition internal but some improvements for external and straps
- Not clean
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Face piece / seals
- Free from distortion
- Plastic is free from cracking
- Plastic is free from damage tears or holes
- Has no other damage which could permit exposure to dust or fumes.
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Straps
- Shows no signs of stretching and distortion
- No visible tears or cuts
- move freely to enable gaining a good face-fit
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Valves
- No visible damage or cracks
- Sits tightly in its housing
- Valves present and working
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Filters
- In date
- correct type for work undertaken
- enable user seal test to be completed
- No visible damage to outer shell
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Type and model
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Clean condition
- Good Condition
- Good condition internal but some improvements for external and straps
- Not clean
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Battery Pack ( working and charging)
- Good condition and fully charged
- Good condition but not charged at the time of inspection
- Poor condition and replacement required
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Visor / Hood
- Clean
- No visible tears or holes
- Hose housing in good condition
- Damaged and needs replacement
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Motor Function/Flow Test
- Flow test kit available
- User can demonstrate how to use this
- Flow test demonstrates motor and filters effective.
- Not flow test kit available or damaged and needs replacement
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Belt and buckles
- Belt and buckles in good condition
- Belt and buckles are clean
- Belt fits wear
- Belt damaged and needs replacement
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Filters and Pre-filters
- Filters in date
- Filters and prefilters correctly fitted
- Filters clean and effective
- Filters are correct type for work undertaken
- Filters dirty, out of date or damaged and need replacing
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Hoses ( check no tears, cracks, or Pershing)
- Free from cracks, tears or holes
- No visible signs of perishing
- Clean and free from dust internally and externally
- Hoses damaged and need replacing
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User has received training and understands how to wear, store and maintain mask effectively
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Details of any issues or concerns raised
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Action Required
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I have inspected the above RPE and ticked to indicate that the RPE was found to be in good order and have commented on work need to bring the item up to the required standard
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Name of person undertaking checks
