INSPECTION CERTIFICATE (SCBA/EEBA)

Date: 07/May/2023 Certificate No: LFTK230507-01A

Client Name : XYZ

Unit under Calibration : SCBA-30 Minutes Job No. : LFTK/JN/23/111
Manufacturer : Drager Calibration Date : 07/May/2023
Model : R45004 Calibration Expiry Date : 06/May/2024
Indication Type : Analog Allowable Error : 1 BAR
Reference Procedure No. : (OHSA)) 29CFR1910.134 Laboratory Temperature : 22.3 Deg C
Serial No. : VFT037UT Laboratory Humidity : 31.5 %RH

Calibration Reference Standard

The UUC has been calibrated against:

Equipment Name Serial No of Equipment Certificate No Calibration Date Validity Upto

Document Process Calibrator 3441006 PCAL22-1605 18/12/2022 17/12/2023
Pressure Module 3408039 PCAL22-1604 18/12/2022 17/12/2023

Calibration Results

UUC Reading of Master Equipment

Mean Deviation Error in Repeatability Hysteresis
Test Type Unit Range Resolution Reading Upscale Down Upscale UOM ±
Value (B) (A-B) % FS (M3-M1) (M2-M1)
(A) (M1) Scale (M2) (M3)
Pressure Barg 200 1 200.00 201.00 200.00 200.00 200.33 -0.33 -0.33 -1.00 -1.00 1.00

FUNCTION TESTING OF SELF-CONTAINED BREATHING APPARATUS(SCBA/EEBA)

Visor, Head Strep, Connector, cover of

Face Mask exhalation Valve, inhalation valve, leak tight silicon rubber, Oronasal guard, √
Reticulated hood.

Demand Air supply Connector, Outer Shell, and

√
Valve Manual Switch off button, Manual force air supply button, Medium Pressure.

Pressure Working pressure form high Compressed to

√
Reducer (0.7:1.25) MPa.

Pressure
Taking random read and checking leak. √
Indicator

Alarming
Test the alarm form 6 MPa to 0.25 MPa. √
Device

Shoulder Strap, Back Plate Shoulder Strap

Back Plate
fastener, Reducer Holder, Waist Belt, √
Assembly
Cylinder Fastener.

The reported expanded uncertainty(U) is based on a standard uncertainty multiplied by a coverage factor k = 2, providing a Confidence level of approximately 95%. The
uncertainty evaluation has been carried out in accordance with GUM guidelines.

Inspected by:
Approved By
ABC
Signature:
Name: ABC