Title Page

  • Company

  • Date

  • Prepared by

  • Location

Oxygen Regulator

  • Is regulator suitable for use.

  • Are there any signs of damage

  • Check for pressure creep. Is there pressure<br>creep

  • Perform leak test (leaks detected)

  • Are gauge pressure increments indicators<br>visible (if applicable)

  • Is the regulator older then 5 years

  • O-Rings in good condition?

Inspection

Fuel Regulator

  • Is regulator suitable for use.

  • Are there any signs of damage

  • Check for pressure creep. Is there pressure<br>creep

  • Perform leak test (leaks detected)

  • Are gauge pressure increments indicators<br>visible (if applicable)

  • Is the regulator older then 5 years

  • O-Rings in good condition?

Hoses

  • Are hose colours correct for gas used?

  • Are fittings in good condition?

  • Bend hoses in a tight radius can cuts or<br>excessive wear be seen?

  • Perform leak test (leaks detected)

Torch & Attachments

  • Are there signs of damage which would<br>compromise torch safety

  • Perform leak test (leaks detected)

  • Is the torch older then 5 years

  • O-Rings in good condition? ( Attachment)

Flash Back Arrestors

  • Oxygen torch end

  • Fuel torch end

  • Oxygen regulator end

  • Fuel regulator end

Fire Protection

  • is fire protection fitted to the trolley.

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signature

  • Name

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