Fire Extinguisher Inspection

• Site conducted

  Select

• Conducted on

  Date

Fire Extinguisher No. 1 - Kitchen

• Is the fire extinguisher unobstructed and accessible?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Are the operating instructions on nameplate legible?

  Safe

  At Risk

  N/A

• Is the nozzle intact?

  Safe

  At Risk

  N/A

• Is pin intact?

  Safe

  At Risk

  N/A

• Is the anti-tamper seal intact?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Concerns Identified?

  Safe

  At Risk

  N/A

Fire Extinguisher No. 2 - Ground Floor Hallway

• Is the fire extinguisher unobstructed and accessible?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Are the operating instructions on nameplate legible?

  Safe

  At Risk

  N/A

• Is the nozzle intact?

  Safe

  At Risk

  N/A

• Is pin intact?

  Safe

  At Risk

  N/A

• Is the anti-tamper seal intact?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Concerns Identified?

  Safe

  At Risk

  N/A

Fire Extinguisher No. 3 - First Floor Hallway

• Is the fire extinguisher unobstructed and accessible?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Are the operating instructions on nameplate legible?

  Safe

  At Risk

  N/A

• Is the nozzle intact?

  Safe

  At Risk

  N/A

• Is pin intact?

  Safe

  At Risk

  N/A

• Is the anti-tamper seal intact?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Concerns Identified?

  Safe

  At Risk

  N/A

Signature

• Completed by

  Sign