Information
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Conducted on
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Prepared by
Bottles
- Bottle Inspection
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Bottle Number
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What location or apparatus?
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Are there gouges that penetrate into the fiber?
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Pictures of Deficiencies
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Is a thread protector installed?
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Is the bottle full (greater than 4200 psi)?
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Other Findings
Packs
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Pack Inspection
Equipment
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Pack Number
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Location/apparatus
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Are the straps in good condition?
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Which side (wearing the pack)?
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Description of the problem
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Photo of the problem
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Is the bypass functional?
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Is the backplate intact (no cracks)?
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Is the PASS device functional?
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Is the low air alarm functional?
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Is the pressure displayed on the pack within 100 psi of the pressure displayed on the bottle?
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Pack pressure
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Bottle pressure
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What is the battery level?
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What location (e.g., nozzle, officer, etc.)?
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Other Findings?
Masks
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Mask Inspection
Equipment
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Mask Number
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What location or apparatus?
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Who's mask?
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Are the straps in good shape?
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What is the condition of the lens?
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Describe damage
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What is the condition of the rubber?
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Describe the damage
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Photograph of the damage
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What is the condition of the netting?
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Put the mask on and test the exhalation valve function and seal by breathing out and then covering the valve hole and attempting to breath in.
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Was the function satisfactory?
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Describe the deficiency
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Other Deficiencies or Notes
HUD
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HUD Inspection
Equipment
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HUD Number
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What location or apparatus?
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Who's mask?
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Does the HUD turn on?
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Other Deficiencies or Notes
