SG 7 RESPIRATOR ZONES

• Conducted on

  Date

• Prepared by

• Job number

• Site address

RESPIRATOR ZONE .

• Zone location .

• Photos

  Media

• Are barriers & signage in place ?

  Yes

  No

• Are there training certificates for all personal working in the zone ?

  Yes

  No

• Are there medical certificates for all personal working in the zone ?

  Yes

  No

• Are there face fit certificates for all personal working in the zone ?

  Yes

  No

• Is there a H type vacuum present ( list number ) ?

  Yes

  No

• Are certificates present for Vacuums being used present & in date ?

  Yes

  No

• Are there adequate washing facilities?

  Yes

  No