Title Page

  • Park Name

  • Conducted on

  • Prepared by

Monthly Inspection

  • 1. Answer "YES" or "NO" for each question.

    2. If "NO" is selected, you will be prompted to create an action item. If further explanation or evidence is appropriate, you may add a note or media in addition to the action item.

    3. Upon completion of the inspection, a report will be available for download.

Fire Extinguisher Inspection

  • Click on the following locations of Fire Extinguishers within Emily Provincial Park and a list of questions will then become available.

Store

Rental Shed

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Kitchen

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Front Door

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Pump House

Entry Door

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Gate House

Entry Door

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Comfort Stations

One

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Two

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Three

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Maintenance

Main Entrance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Cold Storage

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Gas Shed

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Work Bay

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Staff House

North Entrance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

South Entrance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Kitchen

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Office

  • Two Fire Extinguisher Locations

Back Door

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Kitchen

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Vehicles

Kubota

  • Maintenance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Gator

  • Maintenance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Gas Polaris

  • Maintenance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Electric Polaris

  • Maintenance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

Tractor

  • Maintenance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

AA85386

  • Enforcement

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

BN93906

  • Enforcement

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

BD42598

  • Enforcement

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

BDVE554

  • Maintenance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

1742ZY

  • Maintenance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

BP35076

  • Maintenance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

BA 99194

  • Maintenance

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

AT 32628

  • Maintenance 1-ton

  • Identification number or serial number of extinguisher

  • Manufacture Date

  • Expiry Date

  • Type of Fire Extinguisher

  • Size (KG)

  • Rating

  • Fire extinguisher monthly tag is up-to-date

  • Fire extinguisher is secure with unobstructed access

  • Safety pin is in place and intact

  • Label is clear and legible

  • Handle is intact and free from damage (e.g. not bent or broken

  • Pressure gauge indicates safe operating range (green zone)

  • Discharge hoses/nozzle are free from damage (e.g., not clogged, cracked, or broken)

  • Extinguisher has been turned upside down at least three times (shaken) to ensure dry chemical powder does not become compacted

  • Is the fire extinguisher clearly visible (e.g. adequate lighting and clear signage indicating its location)? Please attach a photo of the fire extinguisher location

  • Has the fire extinguisher been inspected by an external service provider within the last 12 months? Please attach a photo of the annual maintenance tag

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.