Personal Alert Safety System (PASS) Inspection

• Document No.

• Conducted on

  Date

• Location:

  Main Fire Hall

  East Fire Hall

• Completed by:

  Sign

Unit inspection

• SCBA Unit number

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18

• Unit turns on when button is held?

  Yes

  No

• Unit sounds Alert after 60 seconds of no motion?

  Yes

  No

• Unit resets after yellow button pressed twice?

  Yes

  No

• Unit sounds Alert when panic button is pressed?

  Yes

  No

• Unit sounds Warning after 30 seconds of no motion?

  Yes

  No

• Unit shuts off after yellow button is pressed twice?

  Yes

  No

• Unit passes all tests and is ready for use?

  Yes

  No