Information
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Monthly Respirator Maintenance Record
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Mask No
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Conducted on
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Conducted by
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Location
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Issued To:
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RPE Make Model and Size
- 3M 7502
- Other - Please list below
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Other type of RPE
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ID Number
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Please check the mask and complete the relevant sections below. If the section is not relevant then please put 'N/A' as the response.
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Is the mask clean?
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Is the storage box clean?
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Are the straps in good working order and damage free?
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Are the buckles working and allow adjustment of straps?
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Are air seals (inlet/outlet) and face seal satisfactory?
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Is the manufacturers expiry within date?
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Enter date of expiry
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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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