Title Page
Monthly Fire Extinguisher Checklist
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Conducted on
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Conducted for the Month of:
- January
- February
- March
- April
- May
- June
- July
- August
- September
- October
- November
- December
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Checked By:
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Location:
- Basement
- Level 1
- Level 2
- Level 3
- Level 4
- Level 5
- Level 6
- Level 7
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Fire Extinguisher Number:
- FE 71
- FE 72
- FE 73
- FE 74
- FE 75
- FE 76
- FE 77
- FE 78
- FE 79
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Any corrosion or rust on the Body of the Extinguisher?
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Attach corrosion / rusted picture
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Is the Bracket in good condition?
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Attach picture of bracket
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Is the pressure in serviceable range:
-
Date of Expiry :
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Attach picture of Pressure Gauge
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Fire Extinguisher Number:
- FE 61
- FE 62
- FE 63
- FE 64
- FE 65
- FE 66
- FE 67
- FE 68
- FE 69
- FE 610
- FE 611
- FE 612
- FE 613
- FE 614
- FE 615
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Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
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Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
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Fire Extinguisher Number:
- FE 51
- FE 52
- FE 53
- FE 54
- FE 55
- FE 56
- FE 57
- FE 58
- FE 59
- FE 510
- FE 511
- FE 512
- FE 513
- FE 514
- FE 515
- FE 516
- FE 517
- FE 518
- FE 519
- FE 520
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Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
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Fire Extinguisher Number:
- FE 41
- FE 42
- FE 43
- FE 44
- FE 45
- FE 46
- FE 47
- FE 48
- FE 49
- FE 410
- FE 411
- FE 412
- FE 413
- FE 414
- FE 415
- FE 416
- FE 417
- FE 418
- FE 419
- FE 420
- FE 421
- FE 422
- FE 423
- FE 424
- FE 425
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Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 01
- FE 02
- FE 03
- FE 04
- FE 05
- FE 06
- FE 07
- FE 08
- FE 09
- FE 10
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Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 21
- FE 22
- FE 23
- FE 24
- FE 25
- FE 26
- FE 27
- FE 28
- FE 29
- FE 210
- FE 211
- FE 212
- FE 213
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Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
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Fire Extinguisher Number:
- FE 31
- FE 32
- FE 33
- FE 34
- FE 35
- FE 36
- FE 37
- FE 38
- FE 39
- FE 310
- FE 311
- FE 312
- FE 313
- FE 314
- FE 315
- FE 316
- FE 317
- FE 318
- FE 319
- FE 320
- FE 321
- FE 322
- FE 323
- FE 324
- FE 325
- FE 326
- FE 327
- FE 328
- FE 329
- FE 330
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Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 11
- FE 12
- FE 13
- FE 14
- FE 15
- FE 16
- FE 17
- FE 18
- FE 19
- FE 110
- FE 111
- FE 112
- FE 113
- FE 114
- FE 115
- FE 116
- FE 117
- FE 118
- FE 119
- FE 120
- FE 121
- FE 122
- FE 123
-
Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Next Fire Extinguisher
Fire Extinguisher
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Location:
- Basement
- Level 1
- Level 2
- Level 3
- Level 4
- Level 5
- Level 6
- Level 7
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Fire Extinguisher Number:
- FE 71
- FE 72
- FE 73
- FE 74
- FE 75
- FE 76
- FE 77
- FE 78
- FE 79
-
Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 61
- FE 62
- FE 63
- FE 64
- FE 65
- FE 66
- FE 67
- FE 68
- FE 69
- FE 610
- FE 611
- FE 612
- FE 613
- FE 614
- FE 615
-
Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 51
- FE 52
- FE 53
- FE 54
- FE 55
- FE 56
- FE 57
- FE 58
- FE 59
- FE 510
- FE 511
- FE 512
- FE 513
- FE 514
- FE 515
- FE 516
- FE 517
- FE 518
- FE 519
- FE 520
-
Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 41
- FE 42
- FE 43
- FE 44
- FE 45
- FE 46
- FE 47
- FE 48
- FE 49
- FE 410
- FE 411
- FE 412
- FE 413
- FE 414
- FE 415
- FE 416
- FE 417
- FE 418
- FE 419
- FE 420
- FE 421
- FE 422
- FE 423
- FE 424
- FE 425
-
Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 01
- FE 02
- FE 03
- FE 04
- FE 05
- FE 06
- FE 07
- FE 08
- FE 09
- FE 10
-
Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 21
- FE 22
- FE 23
- FE 24
- FE 25
- FE 26
- FE 27
- FE 28
- FE 29
- FE 210
- FE 211
- FE 212
- FE 213
-
Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 31
- FE 32
- FE 33
- FE 34
- FE 35
- FE 36
- FE 37
- FE 38
- FE 39
- FE 310
- FE 311
- FE 312
- FE 313
- FE 314
- FE 315
- FE 316
- FE 317
- FE 318
- FE 319
- FE 320
- FE 321
- FE 322
- FE 323
- FE 324
- FE 325
- FE 326
- FE 327
- FE 328
- FE 329
- FE 330
-
Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge
-
Fire Extinguisher Number:
- FE 11
- FE 12
- FE 13
- FE 14
- FE 15
- FE 16
- FE 17
- FE 18
- FE 19
- FE 110
- FE 111
- FE 112
- FE 113
- FE 114
- FE 115
- FE 116
- FE 117
- FE 118
- FE 119
- FE 120
- FE 121
- FE 122
- FE 123
-
Any corrosion or rust on the Body of the Extinguisher?
-
Attach corrosion / rusted picture
-
Is the Bracket in good condition?
-
Attach picture of bracket
-
Is the pressure in serviceable range:
-
Date of Expiry :
-
Attach picture of Pressure Gauge