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Confined Space Rescue Equipment Checklist

Inspect all rescue equipment before confined space entry.

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PAGE 1 OF 2

Details

Rescue Equipment Inspection

Inspect each item. Mark P = Pass, F = Fail. Record notes for any defect, damage or expiry. Do not authorise entry if any critical item fails.

#ItemCheckP/FNotes
Tripod / Davit Arm
1Legs and feet conditionNo cracks, corrosion, deformation
2Leg locks functionalAll locks engage and hold securely
3Pulley / head assembly secureNo play, sheave rotates freely
4Load rating label legibleSWL / WLL label present and readable
Mechanical Winch / SRL
5Cable / strap conditionNo fraying, kinks or corrosion
6Brake mechanism functionalEngages smoothly, holds load
7Descent speed controlControlled lowering at rated speed
8Load capacity label legibleSWL / WLL label present and readable
Full Body Harness
9Webbing conditionNo cuts, fraying or chemical damage
10Buckles and adjusters functionalAll buckles engage and release
11D-rings and attachment pointsSecure, no distortion or corrosion
12Stitching intactNo broken, cut or pulled stitching
13Labels and inspection tag currentLegible, within service date
Breathing Apparatus (SCBA / Airline)
14Cylinder pressure within rangeGauge reading: ______ bar/kPa
15Face mask seal testedPositive/negative pressure check
16Demand valve functionalCorrect air flow on inhalation
17Airline integrity (if applicable)No leaks, kinks or damage
Rescue Equipment Checklist - Page 2 of 2
Inspector
Date
Space ID
#ItemCheckP/FNotes
Gas Detection
18Calibration currentDate: _______________
19Bump test passedAll sensors respond to test gas
20All sensors within expiryCheck sensor expiry dates
21Alarm function testedAudible + visual alarms activate
Communication
22Battery charge adequateSufficient for entry duration
23Range tested to entry pointClear two-way communication
24Intrinsically safe rating confirmedIS rating label present
First Aid / Resuscitation
25Kit contents completeAll required items present
26All items within expiryCheck expiry dates on all items
27Oxygen supply available (if applicable)Cylinder pressure, regulator
Lighting & Other
28Intrinsically safe rating confirmedIS rating label present
29Battery charge adequateSufficient for entry duration
30Stretcher / basket condition and strapsNo damage, straps secure
Equipment Location
Overall Result
PASS: all rescue equipment serviceable and ready FAIL: equipment deficient — do not authorise entry
Declaration
I confirm that all rescue equipment listed above has been inspected and is in serviceable condition, or has been withdrawn from service and replaced. The standby person / rescue team has been briefed on the location and use of all equipment.
Inspector
Signature
Print name
Date & time
Entry Supervisor
Signature
Print name
Date & time