Fire Extinguisher Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by (Add Selfie)

  Sign

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• Location
  Address

• Extinguisher Sl No

• Extinguisher Type

• Year of Manufacturing

• Make

• Capacity Kgs /Ltrs

• DEPARTMENT

• LOCATION

• HP TEST DATE

• REFILLED DATE

• Last AMC inspection date

Extinguisher Condition at Location ( OK/ Not OK)

• Body condition

  Ok

  Not Ok

  N/A

• Safety Clip

  Ok

  Not Ok

  N/A

• Nozzle

  Ok

  Not Ok

  N/A

• Horn

  Ok

  Not Ok

  N/A

• Hose

  Ok

  Not Ok

  N/A

• Cartridge

  Ok

  Not Ok

  N/A

• Powder

  Ok

  Not Ok

  N/A

• Cap

  Ok

  Not Ok

  N/A

• reduction of weight in case of CO2

  Ok

  Not Ok

  N/A

• Remarks If Any