Title Page

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

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