Fire Extinguisher & Extension Cord

• Jobsite Name

• Conducted on

  Date

• Prepared by

• Name of Superintendent

• undefined

• Inspected By

• Fire Extinguisher is mounted in an easily accessible area, with nothing stacked around it.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Discharge Hose/nozzle is in good shape and not clogged, cracked, or broken

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Safety Pin is in place and not damaged.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Pressure gauge is in the green, not damaged or showing “recharge”

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Label is readable and displays the type of extinguisher and the instructions for use.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Fire Extinguisher is not rusty nor has any type of corrosion build up.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Fire Extinguisher was turned upside down at least three times. (Shaken)

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• The location of the Fire Extinguisher is easily identifiable. (signs)

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Total number of fire extinguishers inspected

• Inspected By

Inspection Checklist

• Power cords and extension cords being used are the proper type and size for the task. Specific cords approved for wet locations are used when necessary.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• All extension cords are grounded cords, with the grounding pin intact.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• All power cords and extension cords are in good repair, without damage to the outer jacket insulation, plugs, or pins.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Inline or built-in GFCI devices are used when cords are used in wet locations or during construction activities.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Extension cords are used for temporary purposes only, and not as a replacement for permanent building wiring.<br>Extension cords are not zip-tied or otherwise connected to existing conduit or other building features.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Power cords and extension cords are not run through doorways, windows, or unprotected openings or holes in walls.<br>Power

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Power cords and extension cords are run so that they do not create tripping hazards.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• All equipment with damaged cords have been removed from service.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• Any repairs to power cords or extension cords have been made by a qualified person, and the repairs have the same or greater protective qualities as the original cord or plug.

  Safe

  At Risk

  N/A

• What corrective action will be taken?

• A receptacle tester with GFCI was used to check GFCI breakers, electrical receptacles, and electrical cords for proper wiring.

  Yes

  No