SCBA Inspection Checklist

Equipment ID/ Sr. No: BSNF-6453 Date & Time:

Sr.No. Points to check Yes No

Face mask is free from deterioration,

1
dirt and damage

Regulator connection: functional and

2
undamaged

Rubber Components: free from deformation,

3
wear, damage, and cracks

4 Lens: free from cracks, crazing, thermal, or other damage

5 Lung demand valve is ok & functioning properly

6 Pressure reducer is ok

7 Pressure hose is ok & undamaged

8 Hose coupling is ok & free from damage

9 Gauge hose is ok & functioning properly

10 Whistle for low cylinder pressure is functioning

11 All straps are ok and undamaged

12 Face mask straps are ok & undamaged

13 Waist belt buckle & shoulder strap buckles are un-damaged

14 Is overall breathing apparatus is free from abrasion, cutting, corrosion and discolouration

15 Cylinder Retention System: & cam lock is functional and un-damaged

16 High pressure connector O- ring is inspected

17 Cylinder is free from cracks, dents, or damage

18 Sintered filter is clean and undamaged

19 Cylinder charged pressure

20 Test date of cylinder is checked

Remarks if any: Found ok

Inspected by (Name & Sig.): Hashmat Munir Khan

Form No. QHSSE-FO-049 Rev. No.: 00 Date: 1 Jan 2018