Powered Air-Purifying Respirator (PAPR) Inspection Report Form
Complete this Powered Air-Purifying Respirator (PAPR) Inspection Report Form to document inspection details and assessment outcomes.
Date of Inspection
*
-
Month
-
Day
Year
Date
Inspector Full Name
*
First Name
Last Name
PAPR Unit Identification Number
*
Inspection Status
*
Pass
Fail
Requires Maintenance
Facepiece and Headgear Condition
*
Good (no cracks or tears)
Minor Wear (cosmetic only)
Damaged (requires repair/replacement)
Hose and Breathing Tube Condition
*
Good (no leaks or blockages)
Minor Wear
Damaged (replace)
Airflow and Battery Performance
*
Normal (meets specifications)
Low Airflow
Battery Needs Replacement
Filter/Cartridge Condition
*
Clean and within service life
Near Expiry/Needs Monitoring
Replace Immediately
Observed Issues (if any)
Required Corrective Action
Final Inspection Outcome
*
Approved for Use
Not Approved – Remove from Service
Pending Maintenance/Review
Submit Inspection Report
Should be Empty: