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FIRE EXTINGUISHER INSPECTION REPORT
DATE

LOCATION

EXTINGUISHER LOCATION

EXTINGUISHER SIZE

EXTINGUISHER

EXTINGUISHER SIZE IN KG

CHECK LIST

KEY: 1 = GOOD 2 = ATTENTION REQUIRED 3 = IMMEDIATE ATTENTION REQUIRED

PRESSURE TEST DUE

INDICATOR NEEDLE (GREEN SECTOR)

SAFETY PIN AND SECURITY TIE IN PLACE

PLASTIC COVER

SECURELY MOUNTED

GENERAL CONDITION

OTHER

OTHER

MUST BE SIGNED
INSPECTED BY
DRILLER

FIRE EXTINGUISHER INSPECTION REPORT CHECKLIST

Created by: DANIEL BENTLEY | Industry: Mining | Downloads: 903

BLACK ROCK DRILLING SERVICES

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Audit

FIRE EXTINGUISHER INSPECTION REPORT
DATE

LOCATION

EXTINGUISHER LOCATION

EXTINGUISHER SIZE

EXTINGUISHER

EXTINGUISHER SIZE IN KG

CHECK LIST

KEY: 1 = GOOD 2 = ATTENTION REQUIRED 3 = IMMEDIATE ATTENTION REQUIRED

PRESSURE TEST DUE

INDICATOR NEEDLE (GREEN SECTOR)

SAFETY PIN AND SECURITY TIE IN PLACE

PLASTIC COVER

SECURELY MOUNTED

GENERAL CONDITION

OTHER

OTHER

MUST BE SIGNED
INSPECTED BY
DRILLER