Fillable NATIONAL BENCH CONTEST - DISCOUNT CARD (Mine Safety and Health Administration)

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NATIONAL BENCH CONTEST - DISCOUNT CARD (Mine Safety and Health Administration)

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Notes
Name of Participant
Contestant Number
NATIONAL BENCH CONTEST - DISCOUNT CARD
BIOMARINE BIOPAK 240-R
Working Time
Minutes
Seconds
:
SIGNATURES:
Timekeeper:
Written Examiners:
Judges at Bench:
Scorecard Examiners:
Chief Judge/Appeals Committee:
U. S. Department of Labor
Mine Safety and Health Administration
Coal Mine Safety and Health
2019
A. Competition at Bench
Discount x Occurrences = Total
1. Failure to verbally identify each test being
conducted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x =
x =
2. Failure to verbally identify each problem . . . . . . . .
x =
3. Failure to correct each problem . . . . . . . . . . . . . . .
4. Failure to conduct any visual examination or test
on the BIOPAK 240-R, each test . . . . . . . . . . . . . .
x =
5. Failure to tighten connections properly during
assembly or testing, each connection . . . . . . . . . .
x =
6. Failure to comply with rules not covered in
discount sheet, each infraction . . . . . . . . . . . . . . . .
x =
B. Visuals
1. Failure to conduct a proper visual examination of the
upper and lower housing/harness (Maximum - 4
points) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x =
2. Failure to conduct a proper visual examination of the
center section assembly (Maximum - 4 points) . . . . .
x =
3. Failure to conduct a proper visual examination of the
carbon dioxide scrubber (Maximum - 3 points) . . . . .
x =
4. Failure to conduct a proper visual examination of the
center section lid assembly (Maximum - 2 points) . . .
x =
5. Failure to conduct a proper visual examination of the
O
2
cylinder (Maximum - 3 points) . . . . . . . . . . . . . . . .
x =
6. Failure to conduct a proper visual examination of the
hoses (Maximum - 2 points) . . . . . . . . . . . . . . . . . . . .
x =
7. Failure to conduct a proper visual examination of the
facepiece (Maximum - 4 points) . . . . . . . . . . . . . . . . .
x =
8. Failure to have visual apparatus fully assembled
(ready to use) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x =
C. Tester
x =
1. Failure to conduct the proper constant flow test . . .
2. Failure to conduct a proper demand valve
functional test . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x =
3. Failure to conduct a proper emergency bypass
functional test . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x =
Discount x Occurrences = Total
4. Failure to conduct the proper vent valve functional
test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x =
5. Failure to conduct a proper low pressure leak test . .
x =
6. Failure to conduct a proper RMS Gauge and TRIM
test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x =
7. Failure to conduct a proper high pressure leak test . .
x =
8. Failure to conduct a proper low pressure alarm
functional test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x =
9. Failure to have test apparatus fully assembled
(ready for use) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
x =
Bench Discount
Written Examination
x =
1. For each incorrect answer . . . . . . . . . . . . . . . . . . .
Total Discounts
2
5
5
5
1
2
1
1
1
1
1
1
1
2
2
2
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
2
2
2
2
1
0
0
0
0
0
0
0
0
0
0
0
0
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NATIONAL BENCH CONTEST - DISCOUNT CARD (Mine Safety and Health Administration)

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Completed 7 August 2020

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