Wayne Outram

Fire Extinguisher Checks

To be completed monthly

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Use this Template

Title Page

Site conducted
Conducted on
Prepared by
Location

Container extinguisher - CO2

Locking pin intact?
Tamper seal broken?
Any obvious physical damage, corrosion, leakage or clogged nozzle?
Is pressure gauge or indicator in the operable range or position?
Lift the extinguisher - is it full?

Kitchen extingisher - CO2

Locking pin intact?
Tamper seal broken?
Any obvious physical damage, corrosion, leakage or clogged nozzle?
Is pressure gauge or indicator in the operable range or position?
Lift the extinguisher - is it full?

FOH - Foam

Locking pin intact?
Tamper seal broken?
Any obvious physical damage, corrosion, leakage or clogged nozzle?
Is pressure gauge or indicator in the operable range or position?
Lift the extinguisher - is it full?

Wayne Outram

Fire Extinguisher Checks

To be completed monthly

Use this Template

Print as PDF

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