Equipment Check - SCBA v5.0

• Location
  Address

• Conducted on

  Date

• SELECT VEHICLE TO BE INSPECTED:

  4011

  4013

  4017

  Spare

Signatures of Inspectors:

• Firefighter Signature - Print/Sign

  Sign

• Firefighter Signature - Print/Sign

  Sign

• Firefighter Signature - Print/Sign

  Sign

• Firefighter Signature - Print/Sign

  Sign

• Firefighter Signature - Print/Sign

  Sign

• Officer Sign-Off Signature - Print/Sign

  Sign

S.C.B.A. INSPECTION

• Check Battery Life - *if less than 4 bars, replace battery*

• Check All Gauges for Function (Must be within 100psi)

• Check Low Pressure and Quarter Service Alarms for Function.

• Check/Tighten All Hose Connections

• Ensure Regulator is Clean and Operational.

• Ensure All Straps are Expanded to Largest Position.

• Check Function of P.A.S.S. Device - Alarms within 15 sec of sitting still.

• Check Spare SCBA Cylinders are Equal or Greater than 4000psi.

• Number of Spare SCBA Cylinders present?

• Are all SCBAs accounted for?

  Yes

  No

  N/A

• List Location of Missing SCBA pack

• Are all SCBA Cylinders in good working order?

  Yes

  No

  N/A

• Please list SCBA or Cylinder Number

• Please provide a Photo of the Damage

  Media

• Email to NAFD62264@gmail.com