Information
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SPX- Monthly Respirator Maintenance Record
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Conducted on
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Operative Name
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RPE Make
- Sundström
- Other - Please list below
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RPE Model
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Type of RPE
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Serial Number
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Is the RPE in Clean Condition?
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Is the RPE free from damage?
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Is the RPE stored in a clean appropriate manner?
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Is the RPE stored in a clean appropriate manner?
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Is the face seal in good condition?
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Are the straps free from damage?
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Are the buckles in good working order?
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Are the Exhalation valves in good condition?
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Are the filters clean and in date?
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Are the filters fitted correctly?
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Serial Number
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Is the RPE in Clean Condition?
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Is the RPE free from damage?
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Is the RPE stored in a clean appropriate manner?
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Is the face seal in good condition?
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Are the straps free from damage?
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Are the buckles in good working order?
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Are the exhalation valves in good condition?
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Are the filters clean and in date?
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Is the visor in good condition?
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Serial Number
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Is the RPE in Clean Condition?
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Is the RPE free from damage?
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Is the RPE stored in a clean appropriate manner?
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Battery Pack and charger (working and charging)?
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Motor operating and flow checked?
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Visor clear and free from defects?
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Belt to hold power pack satisfactory?
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Is the in-house expiry within date (6 month maximum)
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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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