Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Quiz Questions
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State the 2 main reasons a harness would be used while working
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List 4 of the most critical checks you should perform on the condition of a harness before use
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What should you do if you find damage or a defect on a harness?
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How should a dirty harness be cleaned and dried?
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Name the 2 situations where Medical Air Respirators would be used
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What is the percentage of LEL at which point The medical air respirator must be used?
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When using Medical Air Respirator, what are the personnel requirements on any given site?
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True or False - the standby person must also be trained and authorised to use the equipment
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What is the phone number in Australia for emergency assistance? (ie. ambulance, fire etc)
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True or False - if the standby person orders everybody out of an excavation/pit/confined space, it must be vacated immediately
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What are the approximate air supply times for 2 people using an 'E' and 'G' sized cylinder?
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What other mandatory PPE is required while using a Medical Air Respirator?
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How is a Medical Air cylinder colour coded for easy identification?
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If you are issued with a medical air cylinder which contains less than 10,000kPa, should it be used?
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What are the 2 pressure checks that need to be performed while donning the Medical Air Respirator?
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Which mode should the demand valve be in, while the respirator is in use?
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What order do you put the required safety apparel on?
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What does it mean when the warning whistle sounds?
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Why should a lifeline never be anchored to a vehicle?
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Explain the pre-donning steps to be taken
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In what order should you put on the respirator and other PPE?
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When the warning whistle sounds, the standby person must order all persons wearing Medical Air Respirators out of the Excavation/Pit/Confined Space
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Why must a lifeline be never secured to a vehicle or plant?
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How far should you open the medical air cylinder?
Medical Air Respirator - Practical
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Was the cylinder valve 'cracked' prior to the regulator being fitted?
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Was the cylinder checked for sufficient pressure and the regulator fitted?
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If required for 2 airlines, was the airline tee piece fitted?
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Was the airline uncoiled prior to pressurising?
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Was the anti flash suit and hood fitted correctly?
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Was the safety harness fitted correctly?
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Was the airline fitted to the harness?
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Was the demand regulator connected to the harness and the face mask hung around the neck?
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Was the lifeline connected correctly to the harness by the standby person?
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Were the pre-donning tests carried out? (cylinder condition, system leak test & whistle test)
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Were the donning tests carried out? (low & positive pressure tests)
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Was the anti flash hood pulled over the head to cover the straps and sides of the mask?
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Was positive pressure mode selected prior to commencing work with the medical air respirator?
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Did the standby person initiate emergency procedure and communicate to the work crew to evacuate the area?
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Did the work crew immediately evacuate the work area when instructed by the standby person?
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Was demand mode selected prior to removing the mask?
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Was the mask removed correctly?
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Was the cylinder turned off prior to depressurising the system?
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Was the lifeline packed away correctly?
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Was the equipment cleaned and packed away correctly?
Assessor Findings
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The candidate is:
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Medical Air Respirator - Passport Authority:
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Assessors Recommendations:
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Assessor Comments
Acceptance of Assessment
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Candidate:
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Assessor: