Information
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Employee:
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Conducted on
Fire Extinguisher Inspection
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ID: #1
Type: ABC
Location: Accounting -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #2
Type: ABC
Location: 2nd Level hallway (W) -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #3
Type: ABC
Location: Box making area (N) -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #4
Type: ABC
Location: Box making area (S) -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #5
Type: CARBON
Location: Fab Elect. Room -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #6
Type: ABC
Location: Mngt. Locker rm. hallway -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #7
Type: ABC
Location: Grader/Rosen break room hallway -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #8
Type: ABC
Location: 2nd Level hallway (E) -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #9
Type: ABC
Location: Lunch Room -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #10
Type: ABC
Location: USDA -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #11
Type: ABC
Location: Supply Entrance -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #12
Type: WATER
Location: Roof access -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
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ID: #13
Type: WATER
Location: Back room supply door -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective actions if required:
Fire Extinguisher Inspection
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ID: #14
Type: ABC
Location: Kill stair well -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #15
Type: ABC
Location: Restrainer -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #16
Type: ABC
Location: Behind wide to narrow -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
-
Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #17
Type: ABC
Location: In front of carcass wash -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #18
Type: ABC
Location: Outside kill floor office -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #19
Type: ABC
Location: Offal -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #20
Type: ABC
Location: Casings -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #21
Type: ABC
Location: Engine -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
-
Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #22
Type: CARBON
Location: Main Electrical room -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #23
Type: ABC
Location: MTC Office -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #24
Type: ABC
Location: MTC Office -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #25
Type: ABC
Location: Gas filling area -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #26
Type: ABC
Location: Forklift #2 -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #27
Type: ABC
Location: Sewer Room -
Extinguisher in proper location
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Access is unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
Fire Extinguisher Inspection
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ID: #42
Type: ABC
Location: (S) wall shop -
Extinguisher in proper location
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Access in unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #43
Type: ABC
Location: Dry box storage -
Extinguisher in proper location
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Access in unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #44
Type: ABC
Location: (W) Pens -
Extinguisher in proper location
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Access in unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #45
Type: ABC
Location: Load up pen area -
Extinguisher in proper location
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Access in unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #46
Type: ABC
Location: Security -
Extinguisher in proper location
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Access in unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
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Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #47
Type: ABC
Location: Bob cat #9 -
Extinguisher in proper location
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Access in unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
-
Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
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HMIS label in place
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Cover present (if equipped)
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Corrective action if required:
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ID: #48
Type: ABC
Location: ERT -
Extinguisher in proper location
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Access in unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
-
Damage, corrosion, leakage, clogged nozzle
-
Pressure gauge in operable range (green)
-
HMIS label in place
-
Cover present (if equipped)
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Corrective action if required:
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ID: #49
Type: ABC
Location: -
Extinguisher in proper location
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Access in unobstructed
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Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
-
Damage, corrosion, leakage, clogged nozzle
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Pressure gauge in operable range (green)
-
HMIS label in place
-
Cover present (if equipped)
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Corrective action if required:
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ID: #50
Type: ABC
Location: -
Extinguisher in proper location
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Access in unobstructed
-
Nameplate legible & facing outward
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Safety seals and tamper indicators not broken or missing
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Extinguisher full (weighing or hefting)
-
Damage, corrosion, leakage, clogged nozzle
-
Pressure gauge in operable range (green)
-
HMIS label in place
-
Cover present (if equipped)
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Corrective action if required:
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Signature:
