Scuba BCD – Wing Service Form

Owner Name*

First Last

Owner Email*

BCD / Wing Make/Model

BCD / Wing Serial Number

Overall appearance; dry rot, corrosion, cuts, nicks, etc.

All hoses checked for cracks, corrosion

Check for leaks

Check inflator unit for function, no sticking

Check all dump valves for function

Check tank strap and buckle

Check harness and all hardware

Service Notes

Other Comments

I certify that the above BCD / Wing and any attached accessories meet manufacturer's specifications and are approved for return to service.*

If "Other," explain:

Technician Name*

Technician Email*

Technician Certifying Agency / Cert. Number*

Inspection Date*