Title Page
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Site conducted
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Site
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Client
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Location
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Conducted on
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Prepared by
FIRE HYDRANT:
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FIRE HYDRANT applicable?
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1. Is there any symbolic sign displayed?
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2. Correct number assigned?
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3. Is general paintwork in good condition?
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4. In any way damaged?
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5. Any corrosion?
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6. Any leaks?
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7. Background colour-coded?
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8. Is floor demarcated?
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9. O-ring rubber in good condition?
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10. Valve in good condition?
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11. Plug fitted to mouth?
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12. Coupling connector in good working condition?
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13. Fire Hydrant accessible?
FIRE HOSE REEL
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FIRE HOSE REEL applicable ?
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1. Is there any symbolic sign displayed?
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2. Correct number assigned?
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3. Is general paintwork in good condition?
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4. In any way damaged?
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5. Any corrosion?
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6. Any leaks?
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7. Security seal in order?
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8. O-ring in good condition?
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9. Background colour-coded?
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10. Is floor demarcated?
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11. Any erosion on hose?
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12. Is guide pulley operational?
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13. Is valve handle in good condition?
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14. Spray nozzle in good working condition?
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15. Is there water in the hose?
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16. Fire hydrant accessible?
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17. Is there a clearly displayed sign stating “NOT TO BE USED ON ELECTRICAL EQUIPMENT”?
FIRE EXTINGUISHER
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1. Are all signs clear and in order?
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2. Is equipment correctly located?
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3. Are hoses in optimal working condition?
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4. Is breather clean and unobstructed?
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5. Any corrosion?
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6. Any leaks?
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7. All seals, including security seals, in order?
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8. Correct pressure maintained?
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9. Is red and white background coding correct?
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10. Is demarcation according to standards?
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11. Is hose trigger operational?
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12. Is equipment in any way obstructed?
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13. Is nozzle clean and clear?
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14. Is equipment numbered correctly?
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15. Serviced annually?
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16. Are employees familiarised with use of extinguisher?
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Additional Information
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Completed By