SCBA PRE-USE CHECKLIST
(Self-Contain Breathing Apparatus)
DLPS-HSE-045/00
Project Name: _________________________________________________________________________________
Equipment No: ___________________________ Date: _____________________ Location: ____________________
(√) Satisfied (X) Not Satisfied (N/A) Not Applicable
AREA OF INSPECTION OK Not OK N/A
FACE PIECE
1. Inspect the mask and locate any damage to the rubber, dirt, cracks, tears, holes and stickiness.
2. Verify that there are no ruptures or losses of elasticity in the mask, elastic bands and buckles.
3. Verify that the bands have not deteriorated because of excessive use.
4. Inspect the visor for cracks, scratches, and check that the seal with the rubber of the mask is
airtight.
5. exhalation valve must be cleaned and operated easily. The valve must move outside the seat
and return when released.
6. Verify Fitting to the user
7. Inspect the connections of the mask for damage. Verify the presence of the spider rubber and
the valve disk.
8. Make sure that you can see clearly through the lens the pointers as well as the marks. Also
make sure the valve or base of the manometer is not twisted.
CARRIER AND HARNESS
9. Inspect all of the components of the harness for cuts, tears, abrasion or signs of exposure to
heat or chemical damages.
[Link] that the screws, washers, and nuts are secured.
[Link] that the bands and latches hold the cylinder firmly. Operate the end of the latch to
make sure it opens and closes properly and that it holds the cylinder firmly. If the cylinder
band and the latch are closed, the end of the latch should not rotate.
[Link] the back plate for cracks, weak areas, or signs of exposure to chemical damage.
CYLINDER
[Link] that the cylinder bell and the ICM unit ring while opening slowly the cylinder valve. This
test ensures that the alarms are in operation conditions.
[Link] sure the bell is properly aligned and tightened.
[Link] that the high and low-pressure hose does not have any cuts or severe abrasion.
[Link] that the working pressure of the cylinder is within a range of not less than 10% of the
working pressure specified. For example, for 4000 psi cylinders, the pressure shall not be less
than 3600 psi. The cylinders that do not meet this requirement should be taken out of service
to be refilled.
[Link] the cylinder’s valve for evidence of damage. The valve may be opened slowly to make
sure it is working properly. Make sure the valve shut completely.
[Link] the body of cylinder for cracks, dents, weak areas, signs of abrasive corrosion of the
fiber or paint.
[Link] that the rings of the cylinder and the manometer are in good condition.
[Link] Sticker or certificates
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Remarks:
Inspected By: Checked By:
Name: ______________________ Supervisor Name: ___________________
Badge No.: ______________ Badge No.: _______________
Signature: ___________________________ Signature: _________________________
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