RPE Maintenance Record Template

Use the RPE Maintenance Record Template to inspect, track repairs, and service history of respiratory protective equipment, ensuring compliance and safety.

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Health & Safety
RPE Maintenance Record Template

Equipment & Record Identification

Inspection & Usage Checks

Fit & Performance Verification

Maintenance & Servicing

Storage & Handling

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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RPE Maintenance Record Template

Use the RPE Maintenance Record Template to inspect, track repairs, and service history of respiratory protective equipment, ensuring compliance and safety.

1. What is the RPE type, model, and unique ID or serial number?

2. Where is the RPE stored or used (department, location)

3. What is the record or log reference number?

1. Was the RPE visually inspected before use for damage, cracks, or distortion?

2. Are the facepiece, harness, valves, filters, and sealing surfaces in good condition?

3. Was the RPE cleaned (per manufacturer guidelines) before or after the shift?

4. Are filters, cartridges, or canisters properly installed, marked with tags or dates?

1. Has a fit check (positive/negative pressure test) been performed successfully?

2. Does the RPE seal properly with no leaks when donned by the user?

3. Has user comfort been assessed (straps, pressure points, breathing resistance)?

4. If adjustable components (straps, head harness) exist, are they functioning and holding correct tension?

1. Were filters, cartridges, or canisters replaced on schedule or upon expiry?

2. Was any servicing done (e.g., replacement of valves, gaskets, parts)?

3. Was the RPE dried properly before storage (if cleaned with water)?

4. Were all components reassembled correctly after maintenance?

1. Is the RPE stored in a clean, dry, and protected area away from contaminants?

2. Is the storage container or cabinet suitable (sealed, protected from sunlight, not crushed)?

3. Are spare parts, filters, or cartridges stored correctly and marked?

4. Are inspection and maintenance records kept close to the RPE or in a log?