Breathing Apparatus Inspection Checklist
Complete this checklist to ensure the safety and readiness of breathing apparatus equipment.
Inspector Full Name
*
First Name
Last Name
Inspector Email Address
*
example@example.com
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment Serial Number
*
Equipment Location
*
Type of Breathing Apparatus
*
Please Select
Self-Contained Breathing Apparatus (SCBA)
Supplied-Air Respirator (SAR)
Escape Breathing Apparatus
Other
Inspection Checklist
*
Rows
Satisfactory
Unsatisfactory
Facepiece condition
1
2
Harness and straps integrity
3
4
Cylinder pressure within safe range
5
6
Warning devices functioning
7
8
Valves and regulators operational
9
10
Cleanliness of apparatus
11
12
Air supply hoses undamaged
13
14
Connections tight and leak-free
15
16
Battery/Power unit (if applicable) operational
17
18
Documentation/Log updated
19
20
Comments or Observations (if any issues found, describe corrective actions taken)
Overall Inspection Status
*
Pass
Fail
Inspector Signature (confirming inspection completed and information is accurate)
*
Submit Inspection
Submit Inspection
Should be Empty: