Belte r r a Cor p or at ion S afety M an ual D oc I D C H S M BE L 2 0 1 7 Pa g e 5 33 of 53 8 RE SP I RATO R INS P ECTIO N CH ECK LI S T Doc u m e n t Identif icat ion F R M 053 P age Nu m b e r 1 of 1 Doc u m e n t C r e ation Dat e Ma y 2 2015 Im p le m e n tat ion Dat e J une 30 2015 Respira tor inspe c tion chec klist for a ir puri fying respira tors F il te r in g f ac e p iec e C he c k for Hole s in t he filt e rs W orn out torn no long e r e lastic or miss in g stra p s Mis sing or c url e d va lves F olds c re a se s or dist orti on in t he fa c e piec e Air p u r if yin g r e sp irat or s w ith r e p lace ab le c ar t r id ge s or f il te r s C he c k the f a c e pi e c e for Dirt C ra c ks t e a rs hole s W a rpe d surf a c e s B roke n fitti ng s f o r e x a mpl e stra p holder s C ra c ke d sc ra tch e d or lo ose fitti ng lens e s f ull f a c e models The pre se n c e o f f il ter se a l g a ske ts if the r e spir a tor ha s ga ske ts C he c k the he a d st r a ps for W e a r a nd tea r L a c k of e lasticit y knots B roke n o r f a ult y buc kl e s C he c k the va lves f o r S oa p re sidue or dirt on v a lves or on the va lv e se a t C ra c ks t e a rs ha rd e ning or w a rps in the v a lves or the va lve se a t Mis sing or da ma ge d va lv e c ove r Va lves tha t ar e c url e d un de r the va lve s e a t C he c k that the c a rtr id g e s or filter s a re Ma de b y the sa me m a nuf a c ture r a s the r e spira tor The c orr e c t t y pe for the h a z a rd F it ti ng se c u re l y in t he f a c e piec e thr e a ds a r e not wor n F re e fr om c ra c ks or de nts Ma rke d with t he da t e the y w e re put i nto ser vic e P ow e r e d air p u r if yin g r e sp irat or s P A PR s I n a ddit ion t o the pr e viou s c he c kli st i tems c he c k th e C ondit ion of ba tt e r y pa c k wir e s a nd c onn e c ti ons Airf low doe s it mee t m a nufa c tur e r s spe c ific a ti on s C ondit ion of br e a thi ng tu be if re spir a tor ha s on e