Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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EXTINGUISHER
EXTINGUISHERS
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Photo
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LOCATION
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TYPE:
- CO2
- DCP
- WATER
- FOAM
- WET CHEM
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SIZE
- 1.0Kg
- 2.0Kg
- 2.5Kg
- 3.0kg
- 3.5Kg
- 4.5Kg
- 5.0Kg
- 7.0L
- 9.0kg
- 9.0L
- 20kg
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SERVICE LEVEL COMPLETED?
- LEVEL 1
- LEVEL 2
- LEVEL 3
- LEVEL 4
- LEVEL 5
- DEFECT IDENTIFIED NOT SERVICED
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WEIGHT:
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NEXT PRESSURE TEST DUE:
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SIGNAGE
- ID
- LOCATION FLAT
- LOCATION RIGHT ANGLE
- OPERATING INSTRUCTIONS
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COMMENTS
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COMPLIANT?
HOSEREEL
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PHOTO
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LOCATION
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SERVICE LEVEL COMPLETED?
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WATER PRESENT?
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SIGNAGE
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INTERLOCK, STOP VALVE, GUIDE, NOZZLE
- INTERLOCK
- INTERLOCK
- NOZZLE
- NOZZLE
- GUIDE
- GUIDE
- FLOOR GUIDE
- FLOOR GUIDE
- CABINET
- CABINET
- STOP VALVE
- STOP VALVE
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COMMENTS:
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COMPLIANT?