ERFD 12-RESCUE-4 APPARATUS CHECK

ERFD 12-RESCUE-4 APPARATUS CHECK

1SCBA > 2Cabinets > 3Cabinets Cont. > 4Remarks & Signature
Date of Apparatus Inspection Date of Apparatus Inspection / MM / DD YYYY
Time Time : HH MM
SCBA Inspection

REMOVE ALL SCBA FROM THE APPARATUS AND CHECK THE FOLLOWING. If a piece of a SCBA is not working properly and not ready for immediate use, DO NOT CHECK IT OFF!
Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Condition	Inspect Straps - Dressed & Good ConditionYes	Inspect Straps - Dressed & Good ConditionNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Conditio	Inspect Straps - Dressed & Good ConditioYes	Inspect Straps - Dressed & Good ConditioNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Conditio	Inspect Straps - Dressed & Good ConditioYes	Inspect Straps - Dressed & Good ConditioNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Conditio	Inspect Straps - Dressed & Good ConditioYes	Inspect Straps - Dressed & Good ConditioNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Conditio	Inspect Straps - Dressed & Good ConditioYes	Inspect Straps - Dressed & Good ConditioNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Conditio	Inspect Straps - Dressed & Good ConditioYes	Inspect Straps - Dressed & Good ConditioNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Conditio	Inspect Straps - Dressed & Good ConditioYes	Inspect Straps - Dressed & Good ConditioNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Conditio	Inspect Straps - Dressed & Good ConditioYes	Inspect Straps - Dressed & Good ConditioNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Conditio	Inspect Straps - Dressed & Good ConditioYes	Inspect Straps - Dressed & Good ConditioNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Pack #
Bottle #
Cylinder PSI


	Yes	No
Connect Regulator - Test Airflow - No Leaks	Connect Regulator - Test Airflow - No LeaksYes	Connect Regulator - Test Airflow - No LeaksNo
Inspect Straps - Dressed & Good Conditio	Inspect Straps - Dressed & Good ConditioYes	Inspect Straps - Dressed & Good ConditioNo
Retaining Band Tight	Retaining Band TightYes	Retaining Band TightNo
Valve Closed	Valve ClosedYes	Valve ClosedNo
In Service	In ServiceYes	In ServiceNo

Spare Bottles
Bottle #
PSI
In Service

In Service Yes No
Bottle #
PSI
In Service

In Service Yes No
Bottle #
PSI
In Service

In Service Yes No
Bottle #
PSI
In Service

In Service Yes No
Bottle #
PSI
In Service

In Service Yes No
Bottle #
PSI
In Service

In Service Yes No
Bottle #
PSI
In Service

In Service Yes No
Bottle #
PSI
In Service

In Service Yes No
SCBA Remarks

BE SURE TO LIST ALL DISCREPANCIES UNDER REMARKS & REMOVE PACKS NOT IN SERVICE