Monthly Fire Extinguisher Check - Barkston

• Conducted on

  Date

• Prepared by

• Location
  Address

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• 8N01 (1&2)

  Yes

  No

  N/A

• 8N02 (3&4)

  Yes

  No

  N/A

• 8N03 (5&6)

  Yes

  No

  N/A

• 8N04 (7&8)

  Yes

  No

  N/A

• 8N05 (9&10)

  Yes

  No

  N/A

• 8N06 (11&12)

  Yes

  No

  N/A

• 8N07 (26&27)

  Yes

  No

  N/A

• CR801 (13&14)

  Yes

  No

  N/A

• 8S01 (17&18)

  Yes

  No

  N/A

• 8S02 (19&20)

  Yes

  No

  N/A

undefined

• Yes

  No

  N/A

undefined

• Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• 9.01 (21&22)

  Yes

  No

  N/A

• 8s.01 (15&16)

  Yes

  No

  N/A

• 9B.02 (23&24)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• 1 - Rear tipping floor (Powder)

  Yes

  No

  N/A

• 2 - Foam Trolley (1 c02)

  Yes

  No

  N/A

• 3 - Conveyor Wall (2x Powder)

  Yes

  No

  N/A

• 4 - Compressor Wall (2x Powder)

  Yes

  No

  N/A

• 5 - Front Tipping Floor (2x Powder)

  Yes

  No

  N/A

• 6 - Outside Fireshield Tank (1x c02)

  Yes

  No

  N/A

• 7 - Substation exit (2x Powder)

  Yes

  No

  N/A

• 8 - Sub 1+2 External (1x c02)

  Yes

  No

  N/A

• 9 - Rear Door (2x Powder)

  Yes

  No

  N/A

• 10 - Mezzanine (1x c02)

  Yes

  No

  N/A

• 11 - Mezzanine 2 (1x c02)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• 1a - Fire Exit (2x Powder)

  Yes

  No

  N/A

• 1a - Shredders (1x Foam, 1x Powder)

  Yes

  No

  N/A

• 1a - Gas Pipe Floor (1x Powder)

  Yes

  No

  N/A

• 1a - Yellow Fence (1x Powder, 1x Foam)

  Yes

  No

  N/A

• 1a - Electric Panel Wall (2x Powder)

  Yes

  No

  N/A

• 1a - Fireshield Panel Wall (2x Powder)

  Yes

  No

  N/A

• 1a - Front Tipping Floor, Scrap Bay Side (2x Powder)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• 1b - Roadway Wall (2x Powder)

  Yes

  No

  N/A

• 1b - 1a Wall (1x Foam, 1x Powder)

  Yes

  No

  N/A

• 1b - Electrical Room Left Hand Wall (1x Powder, 1x c02)

  Yes

  No

  N/A

• 1b - Fire Exit (1x c02, 1x Powder)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• PB01 (27&28)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• PB02 (31&32)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• PB03 (130&131)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• 2.01 (29&30)

  Yes

  No

  N/A

• 2.02 (33&34)

  Yes

  No

  N/A

• 2.03 (35)

  Yes

  No

  N/A

• 2.04 (36&37)

  Yes

  No

  N/A

• 2.04 (38&39)

  Yes

  No

  N/A

• Can you confirm that the correct fire extinguishers are in place and that a visual inspection has been undertaken with no efects identified

  Yes

  No

  N/A

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• 9 KG POWDER

  Yes

  No

  N/A

9 KG FOAM

• Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• 11.01 (40&41)

  Yes

  No

  N/A

• 11.02 (42&43)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• MRF01 (44&45)

  Yes

  No

  N/A

• MRF02 (46&47)

  Yes

  No

  N/A

• MRF03 (48&49)

  Yes

  No

  N/A

• MRF04 (50&51)

  Yes

  No

  N/A

• MRF05 (52&53)

  Yes

  No

  N/A

• MRF06 (54&55)

  Yes

  No

  N/A

• MRF07 (56&57)

  Yes

  No

  N/A

• MRF08 (58&59)

  Yes

  No

  N/A

• Can you confirm that the correct fire extinguisher is in place and that a visual inspection has taken place with no defects

  Yes

  No

  N/A

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• MRF Office MRF 01 MRF 02 MRF 03

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• 5.01 (60&61)

  Yes

  No

  N/A

• 5.02 (62&63)

  Yes

  No

  N/A

• 5.03 (64&65)

  Yes

  No

  N/A

• 5.04 (66&67)

  Yes

  No

  N/A

• 5.05 (68&69)

  Yes

  No

  N/A

• 5.06 (70&71)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• 5B.01 (72&73)

  Yes

  No

  N/A

undefined

• Yes

  No

  N/A

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• 5B 03 (5B + 5B)

  Yes

  No

  N/A

• 5B.02 (74&75)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• CR5.01 (132&133)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• WS01 (76&77)

  Yes

  No

  N/A

• WS02 (78, 79, 80, 81, 82 & 83)

  Yes

  No

  N/A

• WS03 (84&85)

  Yes

  No

  N/A

• WS04 (86&87)

  Yes

  No

  N/A

• WS05 (88, 89 & 90)

  Yes

  No

  N/A

• WS06 (91&92)

  Yes

  No

  N/A

• WS07 (93, 94, 95, 96 & 97)

  Yes

  No

  N/A

• WS08 (98&99)

  Yes

  No

  N/A

• WS09 (100&101)

  Yes

  No

  N/A

• WS10 (102&103)

  Yes

  No

  N/A

• WS11 (104&105)

  Yes

  No

  N/A

• WS12 (106&107)

  Yes

  No

  N/A

• WS13 (108&109)

  Yes

  No

  N/A

• WS14 (110)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• CW01 (111, 112 & 113)

  Yes

  No

  N/A

• CW02 (114&115)

  Yes

  No

  N/A

• CW03 (116)

  Yes

  No

  N/A

• CW04 (117&118)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• WB01 (119&120)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• QC01 (121&122)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• HS01 (123&124)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• S01 (125&126)

  Yes

  No

  N/A

Can you confirm that the correct fire extinguisher is in place and that a visual inspection has been undertaken with no defects identified?

• SPARE (127, 128 & 129)

  Yes

  No

  N/A

• I am hereby signing to confirm all statements made above are correct at the time of inspection.

  Sign