BTS- Annual Fire Extinguisher Certificate Of Maintenance

• Job no:

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• We have today inspected and serviced as necessary to BS5306; Parts 3 & 8 2009, THE FOLLOWING EXTINGUISHERS WHICH WERE LEFT IN GOOD WORKING ORDER except where indicated below: PLEASE NOTE COMMENTS BELOW UNDER SPECIAL REMARKS

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

Special Remarks & Parts used

• Do any Extinguishers require refilling & recharging

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Do any Carbon Dioxide Extinguishers require "Overhaul Maintenance"

  Yes

  No

  N/A

• Have the above been passed fit for use

  Yes

  No

  N/A

• If No, have these been Condemned

  Yes

  No

  N/A

• If No, have these been replaced

  Yes

  No

  N/A

• Have all Extinguishers been passed fit for use

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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

  Select January 2013 February 2013 March 2013 April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 2013 November 2013 December 2013

  • January 2013
  • February 2013
  • March 2013
  • April 2013
  • May 2013
  • June 2013
  • July 2013
  • August 2013
  • September 2013
  • October 2013
  • November 2013
  • December 2013

• Routine Inspection By User It is recommended that regular inspection of all extinguishers, spare gas cartridges and replacement charges should be carried out by the user or user's representative at intervals, 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. The user should replace existing extinguishers not available for use by serviceable extinguishers. Under Contract with Building Technology Services

• Maintenance Technician:

• Signature of Responsible Person

  Sign

• BTS, 119a Derby Street, Burton on Trent, DE14 2LE