289 Fire Extinguisher Monthly Inspection Checklist - 2016 10 01

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Document No.

SNA Monthly Fire Extinguisher Inspection

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Prepared by
Location- Verify you are conducting Monthly Fire Extinguisher Inspection for SNA by entering "SNA" below.

FIRE EXTINGUISHER INSPECTION INSTRUCTIONS Each fire extinguisher (Facility and Vehicle) needs to be inspected and signed off each month. The inspections should at a minimum include: o A visual inspection of the overall condition of the extinguisher and bracket. o Is the pressure gauge in the green? o Is the safety pull pin secured and in place? o Look at the discharge hose to be sure it is not pinched or damaged; be sure the end is not clogged, etc. o Is the monthly inspection tag attached and signed each month? o Is the annual inspection label attached? Is the annual inspection past due? o For wall mounted extinguishers there must be a clear path to the fire extinguisher- be sure there is nothing blocking access to the fire extinguisher, is there a sign on the wall identifying the extinguisher location? Is there a red box painted on the floor to show nothing should be stored in this area? o Any spare fire extinguishers should be stored in such a way as they are protected from falling over, and still need to be inspected monthly. o Any used or Out of Service fire extinguishers must be LOTO until they can be properly disposed of, and stored in a location where they will NOT be accessible in case of an emergency.

FIRE EXTINGUISHER INSPECTION INSTRUCTIONS CON’T Answering "S" for Satisfactory means you agree that you have performed the above required monthly inspection and initialed the monthly inspection tag. If you answer "C" for Comment, please add a brief description of what the issue is and remove the fire extinguisher from service. Create a follow up action item to be sure the issue addressed, and replace the fire extinguisher with a spare. Click YES to confirm you understand how to perform the Monthly Fire Extinguisher Inspection.

Fuel Trucks

J-3 Right, Annual Due in November Hydrostatic Test Due November XXXX
J-3 Left, Annual Due in November Hydrostatic Test Due November XXXX
J-4 Right, Annual Due in November Hydrostatic Test Due November XXXX
J-4 Left, Annual Due in November Hydrostatic Test Due November XXXX
J-10 Right, Annual Due in November Hydrostatic Test Due November XXXX
J-10, Left, Annual Due in November Hydrostatic Test Due November XXXX
J-11 Right, Annual Due in November Hydrostatic Test Due November XXXX
J-11 Left, Annual Due in November Hydrostatic Test Due November XXXX
A-1-Right, Annual Due in November Hydrostatic Test Due November XXXX
A-1, Left, Annual Due in November Hydrostatic Test Due November XXXX
A-2, Left Annual Due in November Hydrostatic Test Due November XXXX
A-2, Right Annual Due in November Hydrostatic Test Due November XXXX

SNA EAST SIDE

HANGAR 1

Hangar, North Wall, East End Annual Due in November Hydrostatic Test Due November XXXX
Hangar, North Wall, West ENd Annual Due in November Hydrostatic Test Due November XXXX
Hangar, East Wall, North End Annual Due in November Hydrostatic Test Due November XXXX
Hangar, East Wall, South End Annual Due in November Hydrostatic Test Due November XXXX
Hangar, South Wall, East End Annual Due in November Hydrostatic Test Due November XXXX
Hangar, South Wall, West End, Annual Due in November Hydrostatic Test Due November XXXX

TERMINAL BUILDING NORTH END

Downstairs- 1, Annual Due in November Hydrostatic Test Due November XXXX
Downstairs- 2, Annual Due in November Hydrostatic Test Due November XXXX
Downstairs- 3, Annual Due in November Hydrostatic Test Due November XXXX
Downstairs- 4, Annual Due in November Hydrostatic Test Due November XXXX
Upstairs- 1, Annual Due in November Hydrostatic Test Due November XXXX
Upstairs- 2, Annual Due in November Hydrostatic Test Due November XXXX
Upstairs- 3, Elevator Room Annual Due in November Hydrostatic Test Due November XXXX

TERMINAL BLDG: OFFICES SOUTH END

Downstairs- 1, Annual Due in November Hydrostatic Test Due November XXXX
Downstairs- 2, Annual Due in November Hydrostatic Test Due November XXXX
Upstairs- 1, Annual Due in November Hydrostatic Test Due November XXXX
Upstairs-2 , Annual Due in November Hydrostatic Test Due November XXXX
Upstairs- 3, Paragon Office Annual Due in November Hydrostatic Test Due November XXXX

East Ramp

Wheeled Fire Extinguisher , Annual Due in November Hydrostatic Test Due November XXXX
Spill Cart, Annual Due in November Hydrostatic Test Due November XXXX

EAST T- HANGARS (One in Each)

T- Hangar 1 GSE Shop Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 2 GSE Shop Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 3 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 4 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 5 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 6 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 7 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 8 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 9 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 10 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar11 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 12 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 13 Annual Due in November Hydrostatic Test Due November XXXX
T- Hangar 14 Annual Due in November Hydrostatic Test Due November XXXX

SNA WEST SIDE

WEST HANGARS

H-1, check all 3 Fire Extinguishers, one on each wall Annual Due in November Hydrostatic Test Due November XXXX
H-2, check all 3 FireExtinguishers, one on each wall Annual Due in November Hydrostatic Test Due November XXXX
H-3, check all 3 FireExtinguishers, one on each wall Annual Due in November Hydrostatic Test Due November XXXX
H-4, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-5, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-6, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-7, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-8, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-9, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-10, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-11, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-12, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-13, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-14, Check 3 FireExtinguishers, one on each wall Annual Due in November Hydrostatic Test Due November XXXX
H-15, Check 3 Fire Extinguishers, one on each wall Annual Due in November Hydrostatic Test Due November XXXX
H-16, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-17, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-18, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-19, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-20, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-21, Check 2 FireExtinguishers, North and South Wall Annual Due in November Hydrostatic Test Due November XXXX
H-22, Check 2 FireExtinguishers, East and West Wall Annual Due in November Hydrostatic Test Due November XXXX
H-23, Check 2 FireExtinguishers, East and West Wall Annual Due in November Hydrostatic Test Due November XXXX
H-24, Check 2 FireExtinguishers, East and West Wall Annual Due in November Hydrostatic Test Due November XXXX
H-25, Check 2 FireExtinguishers, East and West Wall Annual Due in November Hydrostatic Test Due November XXXX
H-26, Check 2 FireExtinguishers, East and West Wall Annual Due in November Hydrostatic Test Due November XXXX

RAMP

Spill Cart Annual Due in November Hydrostatic Test Due November XXXX
Wheeled Fire Extinguisher, Annual Due in November Hydrostatic Test Due November XXXX

WEST SIDE LOBBY

W-1, Downstairs Annual Due in November Hydrostatic Test Due November XXXX
W-2, Upstairs, Sheriffs Office Annual Due in November Hydrostatic Test Due November XXXX

Fuel Farm

FF-1, North End Annual Due in November Hydrostatic Test Due November XXXX
FF-2, Wheeled Fire Extinguisher Annual Due in November Hydrostatic Test Due November XXXX
FF-3, South End Annual Due in November Hydrostatic Test Due November XXXX
Spares 1, In Storage Shed Annual Due in November Hydrostatic Test Due November XXXX
Spares 2, In Storage Shed Annual Due in November Hydrostatic Test Due November XXXX
Spares 3, In Storage Shed Annual Due in November Hydrostatic Test Due November XXXX
Spares 4, In Storage Shed Annual Due in November Hydrostatic Test Due November XXXX
Spares 5, In Storage Shed Annual Due in November Hydrostatic Test Due November XXXX
Spares 6, In Storage Shed Annual Due in November Hydrostatic Test Due November XXXX

GSE

GSE-1, Annual Due in November Hydrostatic Test Due November XXXX
GSE-2, Annual Due in November Hydrostatic Test Due November XXXX
GSE-3, Annual Due in November Hydrostatic Test Due November XXXX
GSE-4, Annual Due in November Hydrostatic Test Due November XXXX
GSE-5, Annual Due in November Hydrostatic Test Due November XXXX
GSE-6, Annual Due in November Hydrostatic Test Due November XXXX
GSE-7, Annual Due in November Hydrostatic Test Due November XXXX

289 Fire Extinguisher Monthly Inspection Checklist - 2016 10 01

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SNA Monthly Fire Extinguisher Inspection

HANGAR 1

TERMINAL BUILDING NORTH END

TERMINAL BLDG: OFFICES SOUTH END

East Ramp

EAST T- HANGARS (One in Each)

WEST HANGARS

RAMP

WEST SIDE LOBBY

Related checklists

289 Fire Extinguisher Monthly Inspection Checklist - 2016 10 01

Free 289 Fire Extinguisher Monthly Inspection Checklist - 2016 10 01 Checklist

Go digital today!

Convert your paper checklists into digital forms

SNA Monthly Fire Extinguisher Inspection

HANGAR 1

TERMINAL BUILDING NORTH END

TERMINAL BLDG: OFFICES SOUTH END

East Ramp

EAST T- HANGARS (One in Each)

WEST HANGARS

RAMP

WEST SIDE LOBBY

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