Respirator Inspection Checklist
Document Control Company: [COMPANY NAME] · Logo: [COMPANY LOGO] · Address: [COMPANY ADDRESS] Prepared by: [RESPONSIBLE PERSON] · Date: [DATE] · Approved by (signature): _________________
| Field | Value |
|---|---|
| Category | Respiratory Protection |
| Recommended Industry | All |
| Document Type | Checklist |
| Access Level | Starter |
| Last Reviewed | 2026-06-29 |
| Last Updated | 2026-06-29 |
How to Use This Template
Use this checklist during the inspection or task it covers. Mark each item, note any issues, and assign corrective actions with a responsible name and due date. Keep the completed checklist on file.
Checklist
Inspect the respirator before and after each use.
| # | Item | Pass | Fail |
|---|---|---|---|
| 1 | Facepiece — no cracks, tears, or distortion | ☐ | ☐ |
| 2 | Straps — elastic, not torn, buckles work | ☐ | ☐ |
| 3 | Valves — present, clean, seat properly | ☐ | ☐ |
| 4 | Cartridges/filters — correct type, not expired/clogged | ☐ | ☐ |
| 5 | Seals/gaskets — intact | ☐ | ☐ |
| 6 | Seal check (user) — positive and negative | ☐ | ☐ |