Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Fire Extinguisher Information

  • Location of Fire Extinguisher

  • Serial No. of Fire Extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

Fire Extinguisher Inspection

  • Has a valid maintenance tag

  • Mounted in an easily accessible place, no debris or material stacked in front of it.

  • Safety pin is in place and intact. Nothing else should be used in place of the pin.

  • Label is clear and extinguisher type and instructions can be read easily.

  • Handle is intact and not bent or broken.

  • Pressure gauge is in the green and is not damaged or showing “recharge”

  • Discharge hoses/nozzle is in good shape and not clogged, cracked, or broken

  • Extinguisher was turned upside down at least three times (shaken) to make sure it is full.

  • Location of extinguisher is easily identifiable by signs

  • Dust and wipe down the extinguisher

  • Annual maintenance tag is signed and dated

  • Take a photo of the annual maintenance tag

  • Overall condition of fire extinguisher

Completion

  • Write down observations

  • State recommendations about the inspections here

  • Name and Signature of Inspector

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