Title Page

  • Location

  • Task

  • Conducted On

  • Prepared By

Select Responses Below

  • Are Flash back arrestors installed at the regulator and hand piece on both the Oxygen and Acetylene lines?

  • Are the Flashback arrestors marked with the date they are to be removed or put into service? Note arrestors shall be replaced every 12 months, some departments may have a ZPM#3 and change on a set day within the department, confirm process if date not sighted.

  • Are there signs of discoloration near Flash back Arrestors? (inspect hose and knobs on handpiece)

  • Is the Oxygen Gauge pressure reading 200kpa and Acetylene Gauge reading 75 Kpa? (if gauge not working, remove from service, designated pressures stated above, if reading above reduce regulator flow)

  • Is the Oxygen Gauge and Acetylene contents gauge working? (if not working, remove from service)

  • Are both regulators color-coded? RED & BLACK

  • Are the hoses approved for use? red for Acetylene, blue for Oxygen, rated & approved for use

  • Are all connections tightened firmly with wrench?

  • Are the fittings connected to the hose approved eg factory crimped/screwed fittings? (remove if hose clamp or crimp is used)

  • Do the hoses show any signs of cracking/deformation/burns that can impact on hose integrity?

  • Does the equipment have any oil or grease evidence? (highly combustible)

  • Has the cutting tip been inspected and in good order?

  • Conduct leak detection of hoses fittings, torch valves, and tip to confirm no leaks are present on the unit being inspected?

  • Sign off

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