SERVICE MANUAL
Page A3-1
APPENDIX 3
9107
May/12
APPENDIX 3
Page A3-1
Oct/11
APPENDIX 3
SERVICE MANUAL
283
ISO 9650
RECORDS OF POST OPERATIONAL PACKING VACUUM TEST
Service Station Name
(As defined in Service Manual M282 P/n 58-08863009)
Service Station ID No.
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Liferaft Serial Number
RAFT
SIZE
Test Date
Start Pressure
(PSI)
End Pressure
(PSI)
% Gain
PASS/FAIL
Tested by (Name &
Stamp
Pass criteria is dependent on raft size - Refer to relevant manual for details.
This form must be kept by the service station for a minimum of 10 years after the earliest test date on this sheet.
These records must be made available on demand for inspection by Revere staff.