Annual Fire Extinguisher Maintenance

• Document No.

• Customer

• Site Address
  Address

• Date

  Date

• Arrival Time

  Date

• Maintenance Type

  All Inclusive

  Standard Contract

Schedule Of Equipment

• Number of Water Extinguishers

• Number of Foam Extinguishers

• Number of Carbon Dioxide Extinguishers

• Number of Dry Powder Extinguishers

• Number of Wet Chemical Extinguishers

• Number of Fire Blankets

• Parts Used

• Disposal of Fire Extinguisher

Special Remarks & Parts used

• Do any Extinguishers require refilling & recharging

  Yes

  No

• Type & location

• Do any Water, Foam, Dry Powder or F Class Extinguishers require "Extended Maintenance"

  Yes

  No

• Was the extended maintenance completed at time of visit

  Yes

  No

• Further Action Required

• Type & Location

• Do any Carbon Dioxide Extinguishers require "PressureTest"

  Yes

  No

• Was the pressure test completed at time of visit

  Yes

  No

• Further Action Required

• List & Location

• Have the above been passed fit for use

  Yes

  No

• Have they been Condemned

  Yes

  No

• Have they been replaced

  Yes

  No

• List and location

• Are all Extinguishers either wall mounted on Brackets or Extinguisher Stands

  Yes

  No

  N/A

• Action Required and Location

• Is there adequate provision of Portable Fire Extinguishers

  Yes

  No

  N/A

• Are all Extinguisher locations and type clearly marked with Identification Signs

  Yes

  No

  N/A

• Next Maintenance Inspection due

  Date

• Engineer Signature

  Sign

• Customer Signature

  Sign

• We have today inspected and serviced as necessary to BS5306: Parts 3 & 8

• Routine Inspection By User It is recommended that regular inspection of all extinguishers, to make sure that appliances are in their proper position and have not been discharged, or lost pressure (in the case of fire extinguishers fitted with a pressure indicator), or suffered obvious damage. The frequency of inspection should not be less than quarterly, and preferably at least monthly.