Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Scan QR Code

Untitled Page

  • Is the FE located in the designated place?

  • Is the FE unobstructed and visible?

  • Are the operating instructions on the FE legible, and facing outward.

  • Are the safety seals and tamper indicators not broken or missing?

  • Is the pressure gauge reading, or indicator, in the operable range or position?

  • Has the FE had an annual inspection and in date?

  • Did you initial and date the tag?

  • Signature

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.