MONTHLY SCBA INSPECTION REPORT

Location: MCR/LER1/LER2/BOG/JETTY/Fire station/TAFT/DAFT/LRV Periode : January 2024

Actual Indicator Cylinder to Pressure
TAG Harness Hose Cylinder Leaking

Type
NO Location Masker Backplate pressure DSU Lamp / Box set reducing Date Checked by Remarks
Number Strap Line Valve Test
( bar) Battery connection valve

Scoot BA-001 √ √ √ √ 2500 Psi N/A √ √ √ √ √ √ 4-Jan-24 ARG Good condition

1 MCR
Scoot BA-002 √ √ √ √ 2500 Psi N/A √ √ √ √ √ √ 4-Jan-24 AEG Good condition
Drager BA-001 √ √ √ √ 280 Bar √ N/A √ √ √ √ √ 4-Jan-24 ARG Good condition
2 LER 1
Drager BA-002 √ √ √ √ 275 Bar √ N/A √ √ √ √ √ 4-Jan-24 ARG Good condition
Drager BA-001 √ √ √ √ 270 Bar √ N/A √ √ √ √ √ 4-Jan-24 ARG Good condition
3 LER 2
Drager BA-002 √ √ √ √ 280 Bar √ N/A √ √ √ √ √ 4-Jan-24 ARG Good condition
Scoot BA-001 √ √ √ √ 2400 Psi N/A √ √ √ √ √ √ 4-Jan-24 RC Good condition
4 LNG Jetty
Scoot BA-002 √ √ √ √ 2400 Psi N/A √ √ √ √ √ √ 4-Jan-24 RC Good condition
Scoot BA-001 √ √ √ √ 2500 Psi N/A √ √ √ √ √ √ 4-Jan-24 ARG Good condition
5 BOG
Scoot BA-002 √ √ √ √ 2500 Psi N/A √ √ √ √ √ √ 4-Jan-24 ARG Good condition
Scoot BA-001 √ √ √ √ 2400 Psi N/A √ √ √ √ √ √ 1-Jan-24 ARG Good condition
6 LER 3
Drager BA-002 √ √ √ √ 240 Bar √ N/A √ √ √ √ √ 1-Jan-24 ARG Good condition
Drager Box 1 √ √ √ √ 270 Bar √ N/A √ √ √ √ √ 2-Jan-04 SL Good condition
7 Rescue Car
Drager Box 2 √ √ √ √ 260 Bar √ N/A √ √ √ √ √ 2-Jan-04 SL Good condition
Drager BA-001 √ √ √ √ 270 Bar √ N/A √ √ √ √ √ 2-Jan-04 ARG Good condition
8 TAFT Drager BA-002 √ √ √ √ 275 Bar √ N/A √ √ √ √ √ 2-Jan-04 ARG Good condition
Drager BA-003 √ √ √ √ 280 Bar √ N/A √ √ √ √ √ 2-Jan-04 ARG Good condition
Drager BA-001 √ √ √ √ 250 Bar √ N/A √ √ √ √ √ 2-Jan-04 STY Good condition
Drager BA-002 √ √ √ √ 240 Bar √ N/A √ √ √ √ √ 2-Jan-04 STY Good condition
9 DAFT
Drager BA-003 √ √ √ √ 240 Bar √ N/A √ √ √ √ √ 2-Jan-04 STY Good condition
Drager BA-004 √ √ √ √ 270 Bar √ N/A √ √ √ √ √ 2-Jan-04 STY Good condition

Drager BA-001 √ N/A N/A √ 300 Bar N/A N/A N/A √ √ √ √ 2-Jan-04 ARG Good condition
10 Air Line
Drager BA-002 √ N/A N/A √ 300 Bar N/A N/A N/A √ √ √ √ 2-Jan-04 ARG Good condition

Note:

Prepared by : Acknowledged by

Afandy Garcia Royke Sepang

 MONTHLY SCBA INSPECTION REPORT

Location: MCR/LER1/LER2/BOG/JETTY/Fire station/TAFT/DAFT/LRV Periode : March 2024

Actual Indicator Cylinder to Pressure
TAG Harness Hose Cylinder Leaking

Type
NO Location Masker Backplate pressure DSU Lamp / Box set reducing Date Checked by Remarks
Number Strap Line Valve Test
( bar) Battery connection valve

Scoot BA-001 √ √ √ √ 2500 Psi N/A √ √ √ √ √ √ Good condition

1 MCR
Scoot BA-002 √ √ √ √ 2500 Psi N/A √ √ √ √ √ √ Good condition
Drager BA-001 √ √ √ √ 280 Bar √ N/A √ √ √ √ √ 3-Mar-24 RW Good condition
2 LER 1
Drager BA-002 √ √ √ √ 275 Bar √ N/A √ √ √ √ √ 3-Mar-24 RW Good condition
Drager BA-001 √ √ √ √ 270 Bar √ N/A √ √ √ √ √ 3-Mar-24 RW Good condition
3 LER 2
Drager BA-002 √ √ √ √ 280 Bar √ N/A √ √ √ √ √ 3-Mar-24 RW Good condition
Scoot BA-001 √ √ √ √ 2400 Psi N/A √ √ √ √ √ √ 3-Mar-24 HL Good condition
4 LNG Jetty
Scoot BA-002 √ √ √ √ 2400 Psi N/A √ √ √ √ √ √ 3-Mar-24 HL Good condition
Scoot BA-001 √ √ √ √ 2500 Psi N/A √ √ √ √ √ √ 4-Jan-24 ARG Good condition
5 BOG
Scoot BA-002 √ √ √ √ 2500 Psi N/A √ √ √ √ √ √ 4-Jan-24 ARG Good condition
Scoot BA-001 √ √ √ √ 2400 Psi N/A √ √ √ √ √ √ 1-Mar-24 HL Good condition
6 LER 3
Drager BA-002 √ √ √ √ 240 Bar √ N/A √ √ √ √ √ 1-Mar-24 HL Good condition
Drager Box 1 √ √ √ √ 270 Bar √ N/A √ √ √ √ √ 3-Mar-04 RW Good condition
7 Rescue Car
Drager Box 2 √ √ √ √ 260 Bar √ N/A √ √ √ √ √ 3-Mar-04 Good condition
Drager BA-001 √ √ √ √ 270 Bar √ N/A √ √ √ √ √ 2-Mar-04 SM Good condition
8 TAFT Drager BA-002 √ √ √ √ 275 Bar √ N/A √ √ √ √ √ 2-Mar-04 SM Good condition
Drager BA-003 √ √ √ √ 280 Bar √ N/A √ √ √ √ √ 2-Mar-04 SM Good condition
Drager BA-001 √ √ √ √ 250 Bar √ N/A √ √ √ √ √ 2-Mar-04 RW Good condition
Drager BA-002 √ √ √ √ 240 Bar √ N/A √ √ √ √ √ 2-Mar-04 RW Good condition
9 DAFT
Drager BA-003 √ √ √ √ 240 Bar √ N/A √ √ √ √ √ 2-Mar-04 RW Good condition
Drager BA-004 √ √ √ √ 270 Bar √ N/A √ √ √ √ √ 2-Mar-04 RW Good condition

Drager BA-001 √ N/A N/A √ 300 Bar N/A N/A N/A √ √ √ √ 2-Jan-04 ARG Good condition
10 Air Line
Drager BA-002 √ N/A N/A √ 300 Bar N/A N/A N/A √ √ √ √ 2-Jan-04 ARG Good condition

Note:

Prepared by : Acknowledged by

Roy Wowiling Agus A Faturohman