The inline adjustment tool is a little overkill unless he also has a magnehelic and knows what cracking pressure he needs.
I think a screwdriver or hex key would be sufficient.
Being able to adjust while it is actually hooked up makes things a lot easier. It only takes very small adjustment to make a big difference. The inline makes micro adjustments very easy.
I had one regulator that had a different size fitting and tried to adjust it without the tool. I never did get it quite right right. The company did send me the newer style in the standard 5mm size. Hooked to pressure I was able to adjust the rest fine and have never had a problem.