Health and Safety - Fire Equpment Inspection

• Conducted on

  Date

• Prepared by

  Select

• A1.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• A1.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• A2.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• A2.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• A3.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• A3.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

Block B Inspection

• B1.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• B1.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• B2.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• B2.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• B3.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• B3.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

Block C - Fire Equipment Inspection

• C1.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C1.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C2.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C2.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C3.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C3.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C4.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C4.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C4.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C5.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C5.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• C5.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

D Block - Fire Equipment Inspection

• D1.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• D1.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• D2.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• D2.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• D3.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• D3.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• D4.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• D4.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• D5.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• D5.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

Block E - Fire Equipment Inspection

• E1.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• E1.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• E2.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• E2.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• E3.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• E3.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

Block F - Fire Equipment Inspection

• F1.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• F1.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• F2.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• F2.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• F3.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• F3.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

Block G - Fire Equipment Inspection

• G1.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• G1.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• G2.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• G2.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• G3.1 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• G3.2 - Fire Extingusiher and/or Hose Reel inspected and found to be in order

  Yes

  No

  N/A

• Additional information you would like to provide

  Yes

  No

  N/A

• I hereby confirm that i have inspected the above mentioend equipment and the information provided is correct to my knowledge. I futher confirm that i am aware it is an offence if i have provided information on the fire equipment without personallly inspecting

  Sign