Title Page
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Site conducted
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Location
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Conducted on
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Prepared by
Respiratory Protection
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Is the respiratory protection free from wear and tear?
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Does the respirator comply to AS 2865-2009?
Gas Monitor
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The monitor calibrated in the last 6 months?
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Is the monitor fully functional?
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Is the monitor free from wear and tear?
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Power levels/battery adequate?
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IS monitor fully operational?
Self Contained Breathing Apparatus SCBA
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Have High Pressure Cylinders been hydrostatically tested every 5 years?
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High Pressure Cylinders have a fixed life of 15 years from date of manufacture?
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The mask has a high visibility visor with an inner orynasal mask to prevent fogging and reduce dead space?
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The mask is constructed of neoprene rubber or silicone and is held in place by a five point adjustable strap?
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The masks are designed to be positive pressure masks which prevents gases entering the mask if accidently dislodged?
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The system includes a low pressure warning whistle which will be either located on the pressure gauge, or built into the pressure reducer?
Harnesses
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Does harness have lifting loops?
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Manufactured to AS1891?
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Working life of harness is within 10 years?
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Inspected 6 monthly by a competent person?
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Can wear and tear be observed?
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Maximum rated load available?
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Stored in a dry well-ventilated cabinet that can be locked to prevent unauthorised access?
Spreader Bar
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Manufactured to ASS1891?
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Working life of bar is within 10 years?
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Inspected 6 monthly by a competent person?
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Can wear and tear be observed?
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Stored in a dry well-ventilated cabinet that can be locked to prevent unauthorised access?
Tripods & Rope Rescue Devices
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Each device has a safe workload (SWL)?
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Tripod inspected by a competent person and tagged 12 monthly?
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Do tripod legs fully extend?
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Is there enough rope in the bag?
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Rope rescue device inspected by a competent person and tagged 6 monthly?
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Rope stored in bag?
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Can wear and tear be observed?
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Stored in a dry well-ventilated area that can be locked to prevent unauthorised access?
Davits & Winches
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Each device has a safe workload (SWL)?
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Davit and winches have been inspected and tagged by a competent person in the last 12 months?
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Can wear and tear be observed?
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Stored in a dry well-ventilated area that can be locked to prevent unauthorised access?
Attachment Devices - Karabiners
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Must be double acting?
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Made from steel?
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Self locking or screw and squeeze?
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Oriented so screwed to earth?
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identifies a safe workload (SWL)?
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Can wear and tear be observed?
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Stored in a dry well-ventilated area that cannot be tampered?
