BCD / Computer Inspection Form

BCD / Computer Inspection Form
Today's Date *

Month Day Year
Date
Store or Customer Cylinder *

Store Customer
Date of Inspection / Service *

Month Day Year
Date
SF Null Owner
Store Hidden Email
example@example.com
Regulator Inspections
Next Inspection Null Calculation *
Next Inspection Needed *

Month Day Year
Date
BCD
Store BCD ID
BCD Make Model
BCD Serial No.
Tests 1 through 5 to be completed while BCD is pressurized with a regulator.
Test 1: Pressurized Immersion Test. Pressurize unit and submerge and look for leaks.

Pass Fail
Notes
Test 2: Inflator Button Operation. Should not stick or difficult to operate.

Pass Fail
Notes
Test 3: Oral inflate/Dump Valve Operation. Should operate easily and not leak.

Pass Fail
Notes
Test 4: Lower Exhaust Valve Operation. Should operate easily and not leak.

Pass Fail
Notes
Test 5: Hose Inspection. Inspect hose for cracks, damage at connections, crimping or blistering.

Pass Fail
Notes
Service BCD

Yes No
Notes
Computer
Store Computer ID
Attached to Regulator ID
Computer Make Model
Computer Serial No.
Test 1: Battery Status. Battery status not flashing or showing more than 3 segments.

Pass Fail
Notes
Battery Change

Yes No
Notes
O-Ring Change

Yes No
Notes
Service Computer

Yes Fail
Notes
Inspector name(print)
Signature

Clear
Date

Month Day Year
Date
Should be Empty:

BCD