Title Page

  • Site conducted

  • Conducted on

Fire Extinguisher No. 1 - Kitchen

  • Is the fire extinguisher unobstructed and accessible?

  • Is the fire extinguisher safely secured/won't fall easily?

  • Are the operating instructions on nameplate legible?

  • Is the nozzle intact?

  • Is pin intact?

  • Is the anti-tamper seal intact?

  • Does the gauge show in the green (Fully Charged)?

  • Is the service company tag attached, signed and dated?

  • Concerns Identified?

Fire Extinguisher No. 2 - Ground Floor Hallway

  • Is the fire extinguisher unobstructed and accessible?

  • Is the fire extinguisher safely secured/won't fall easily?

  • Are the operating instructions on nameplate legible?

  • Is the nozzle intact?

  • Is pin intact?

  • Is the anti-tamper seal intact?

  • Does the gauge show in the green (Fully Charged)?

  • Is the service company tag attached, signed and dated?

  • Concerns Identified?

Fire Extinguisher No. 3 - First Floor Hallway

  • Is the fire extinguisher unobstructed and accessible?

  • Is the fire extinguisher safely secured/won't fall easily?

  • Are the operating instructions on nameplate legible?

  • Is the nozzle intact?

  • Is pin intact?

  • Is the anti-tamper seal intact?

  • Does the gauge show in the green (Fully Charged)?

  • Is the service company tag attached, signed and dated?

  • Concerns Identified?

Alarm Checks

  • Alarm Test switch activated

  • Battery bedroom alarms tested

  • CO2 alarms tested

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.