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PennsylvaniaStateFireAcademy
SelfContainedBreathingApparatusInspectionChecklist
TodaysDateSCBAMakeandModelCylinderDOTENumberCylinderSerialNumberDOTE
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1. ThischecklistshallbeusedforaOpenCircuitSelfContainedBreathingApparatus(CBA)only
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How to fill out thischecklistshallbeusedforaopencircuitselfcontainedbreathingapparatusscbaonly
To fill out the checklist for an open circuit self-contained breathing apparatus (SCBA) correctly, follow these steps:
01
Start by reviewing the checklist thoroughly to understand the items and requirements mentioned.
02
Ensure that the SCBA is available and ready for inspection. Check if it is in proper working condition and has the necessary accessories.
03
Begin by documenting the date and time of the checklist completion on the designated section.
04
Verify the identification number or any unique identifier of the SCBA and input it correctly on the form.
05
Inspect the pressure gauge of the SCBA to ensure it is within the acceptable range. If not, take appropriate action as per the SCBA's guidelines.
06
Check the facepiece or mask for any damage or wear. If there are any issues, note them down and arrange for repair or replacement.
07
Examine the breathing apparatus for any visible signs of damage, such as cracks, leaks, or loose components. Make sure all parts are securely attached.
08
Confirm the availability and functionality of the alarm systems, including visual and audible alerts.
09
Inspect the lung demand valve (LDV) or regulator to ensure it is working correctly and responsive to breathing.
10
Verify the presence of the required number and type of cylinders, along with their expiry dates. Replace any expired cylinders promptly.
11
Check the harness and straps of the SCBA for any damage or signs of wear. Ensure they are properly adjusted for a secure and comfortable fit.
12
Inspect the compressed air supply system, including the air hose and connection points. Look for any leaks or faulty connections.
13
Once the inspection is complete, sign and date the checklist to certify its accuracy and completion.
14
The checklist for an open circuit SCBA is typically required by firefighters, hazardous material response teams, and professionals working in confined spaces or areas with poor air quality. Anyone responsible for maintaining and using SCBA equipment should use this checklist.
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What is thischecklistshallbeusedforaopencircuitselfcontainedbreathingapparatusscbaonly?
This checklist is used for an open circuit self-contained breathing apparatus (SCBA) only.
Who is required to file thischecklistshallbeusedforaopencircuitselfcontainedbreathingapparatusscbaonly?
The individuals responsible for using the open circuit SCBA are required to file this checklist.
How to fill out thischecklistshallbeusedforaopencircuitselfcontainedbreathingapparatusscbaonly?
This checklist should be filled out by reviewing each item and marking it as compliant or non-compliant.
What is the purpose of thischecklistshallbeusedforaopencircuitselfcontainedbreathingapparatusscbaonly?
The purpose of this checklist is to ensure that the open circuit SCBA is in proper working condition and complies with safety regulations.
What information must be reported on thischecklistshallbeusedforaopencircuitselfcontainedbreathingapparatusscbaonly?
The checklist should report any issues or discrepancies found during the inspection of the open circuit SCBA.
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