Information
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Site Name:
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Conducted on
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Prepared by
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Location
- RPE Inspection
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Issued to:
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Equipment details: (make, model, serial no. etc.)
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Cleanliness
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Filter Check
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Facepiece/Seal
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Head Straps/Buckles
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Valves/Seals
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Any Maintenance Required?
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Is RPE Fit for Use?
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Comments:
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Signature of competent person carrying out the inspection