Information
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IMS F042
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FIRE EXTINGUISHER INSPECTIONS
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Monthly
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Conducted on
Site Name
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SITE NAME
- LONG MARSTON
- IRONBRIDGE
- STRATFORD UPON AVON
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Inspected by
Monthly Inspections
1. Monthly Fire Extinguisher Inspection
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1. Are fire extinguishers easily accessible and unobstructed (no debris or objects stacked in front or around it)?
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2. Is the location of the extinguisher easily identifiable ( signs )?
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Enter extinguisher number
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Assign responsibility
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3. Are safety pins on place and intact?
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Enter extinguisher number
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Assign responsibility
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Status
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4. Are labels clear and extinguisher types and instructions can easily be read?
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Enter extinguisher number
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Assign responsibility
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Status
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5. Are handles intact and not bent or broken?
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Enter extinguisher number
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Assign responsibility
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Status
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6. Are pressure gauges in the green and not damaged or showing " recharge"?
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Enter extinguisher number
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Assign responsibility
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Status
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Verified by:
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7. Are discharge hoses / nozzle in good shape and not clogged,cracked or broken?
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Enter extinguisher number
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Assign responsibility
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Status
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8. Are extinguishers free of rust or any type of corrosion build up?<br><br><br><br><br>
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Enter extinguisher number
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Assign responsibility
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Status
Any comments
TO BE COMPLETED BY H& S Advisor
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Master Action Log No:
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Untitled page
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Fire Extinguisher Station Numbers
- No 1
- No 2
- No 3
- No 4
- No 5
- No 6
Signatures & finalization
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SIGNATURE REQUIRED
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Completed form sent to Health and Safety Advisor
