Kellogg's Enstek Plant Monthly Fire Extinguisher Inspection

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

SA 01

• Is the fire extinguisher present and unobstructed?

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the tamper seal is unbroken?

  Yes

  No

  N/A

• Is the pressure gauge indicator in the Green position.

  Yes

  No

  N/A

• Initial and date monthly inspection log found on the back of the inspection tag.

  Yes

  No

  N/A

• Remove and Inspect fire extinguisher hose for obstructions, cracks, tears, or other damage and indicate the condition.

  Safe

  At Risk

  N/A

SA 02

• Is the fire extinguisher present and unobstructed?

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the tamper seal is unbroken?

  Yes

  No

  N/A

• Is the pressure gauge indicator in the Green position.

  Yes

  No

  N/A

• Initial and date monthly inspection log found on the back of the inspection tag.

  Yes

  No

  N/A

• Remove and Inspect fire extinguisher hose for obstructions, cracks, tears, or other damage and indicate the condition.

  Safe

  At Risk

  N/A

SA 03

• Is the fire extinguisher present and unobstructed?

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the tamper seal is unbroken?

  Yes

  No

  N/A

• Is the pressure gauge indicator in the Green position.

  Yes

  No

  N/A

• Initial and date monthly inspection log found on the back of the inspection tag.

  Yes

  No

  N/A

• Remove and Inspect fire extinguisher hose for obstructions, cracks, tears, or other damage and indicate the condition.

  Safe

  At Risk

  N/A

SA 04

• Is the fire extinguisher present and unobstructed?

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the tamper seal is unbroken?

  Yes

  No

  N/A

• Is the pressure gauge indicator in the Green position.

  Yes

  No

  N/A

• Initial and date monthly inspection log found on the back of the inspection tag.

  Yes

  No

  N/A

• Remove and Inspect fire extinguisher hose for obstructions, cracks, tears, or other damage and indicate the condition.

  Safe

  At Risk

  N/A

FA 01

• Is the fire extinguisher present and unobstructed?

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the tamper seal is unbroken?

  Yes

  No

  N/A

• Is the pressure gauge indicator in the Green position.

  Yes

  No

  N/A

• Initial and date monthly inspection log found on the back of the inspection tag.

  Yes

  No

  N/A

• Remove and Inspect fire extinguisher hose for obstructions, cracks, tears, or other damage and indicate the condition.

  Safe

  At Risk

  N/A

FA 02

• Is the fire extinguisher present and unobstructed?

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the tamper seal is unbroken?

  Yes

  No

  N/A

• Is the pressure gauge indicator in the Green position.

  Yes

  No

  N/A

• Initial and date monthly inspection log found on the back of the inspection tag.

  Yes

  No

  N/A

• Remove and Inspect fire extinguisher hose for obstructions, cracks, tears, or other damage and indicate the condition.

  Safe

  At Risk

  N/A

FA 03

• Is the fire extinguisher present and unobstructed?

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the tamper seal is unbroken?

  Yes

  No

  N/A

• Is the pressure gauge indicator in the Green position.

  Yes

  No

  N/A

• Initial and date monthly inspection log found on the back of the inspection tag.

  Yes

  No

  N/A

• Remove and Inspect fire extinguisher hose for obstructions, cracks, tears, or other damage and indicate the condition.

  Safe

  At Risk

  N/A

FA 04

• Is the fire extinguisher present and unobstructed?

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the tamper seal is unbroken?

  Yes

  No

  N/A

• Is the pressure gauge indicator in the Green position.

  Yes

  No

  N/A

• Initial and date monthly inspection log found on the back of the inspection tag.

  Yes

  No

  N/A

• Remove and Inspect fire extinguisher hose for obstructions, cracks, tears, or other damage and indicate the condition.

  Safe

  At Risk

  N/A

FA 05

• Is the fire extinguisher present and unobstructed?

  Yes

  No

  N/A

• Is the fire extinguisher safety pin in place and the tamper seal is unbroken?

  Yes

  No

  N/A

• Is the pressure gauge indicator in the Green position.

  Yes

  No

  N/A

• Initial and date monthly inspection log found on the back of the inspection tag.

  Yes

  No

  N/A

• Remove and Inspect fire extinguisher hose for obstructions, cracks, tears, or other damage and indicate the condition.

  Safe

  At Risk

  N/A