Title Page
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Department:
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Conducted on:
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Conducted by:
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Untitled Page
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FIRE EQUIPMENT CHECK SHEET
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1. Emergency Contact list available and updated?
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2. Seal missing or broken?
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3. Equipment damaged?
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4. Incorrect pressure?
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5. Picture and contact number of fire warden and emergncy co ordinator displayed?
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6. Hose rolled up?
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7. Pressure gauge missing/broken?
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8. Hose or nozzle damaged?
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9. Equipment obstructed or inaccessible?
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10. Backing plate loose or missing?
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11. Label on equipment missing or damaged?
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12. Fire Siren availalbe and working?
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13. Extinguisher no. missing or damaged or not legible?
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14. Fire drill conducted in the past 6 months?
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15. Symbolic signs damaged or missing?
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16. Damaged stop valve on hose reel?
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17. Damaged hose runout guide?
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18. Evacuation routes clearly marked?
Action required
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Action Required:
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By Whom:
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Target Date:
Signatures
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Inspected By:
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Signature:
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Manager:
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Signature: