BTS- Annual Fire Extinguisher Certificate Of Maintenance

• Job no:

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• 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

• Maintenance Technician:

• Signature of Responsible Person

  Sign

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