INSPECTION CHECKLIST FOR

FIREPROOFING SPRAY
MIXTURE MACHINE
Equipment Location :
Equipment Number :

Make/Model# :

Inspection Date :

Sr. Equipment Safety Checks OK / NOT OK Remarks

1. Air pressure gauge is in proper working

condition

2. Air pressure relief valve is working properly

3. Air regulator adjustment knob

4. Bleed type master air valve condition

5. Air Filter condition

6. Air Hose connection proper and whiplash

arrestor available

7. Spray hose connection condition

8. Fluid drain/purge valve

9. Suction hose, tube and connection are

proper

10. Ground wire condition and connections are

proper

11. Fluid Outlet condition

12. Wheels are in proper condition

13. All operating levers are in working condition

14.

15.

Operator Name: Signature:

Supervisor Name: Signature: