Monthly Fire extinguisher checks

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

Sheet1

• Fire extinguisher checks Monthly Date:

  Date
Fire Ext. No

• Type

  Yes

  No

  N/A

• Location

• In Date

  Date

• Tag intact

  Yes

  No

  N/A

• Under charged

  Yes

  No

  N/A

• condition

  Good

  Fair

  Poor

  N/A

• Failed / Pass

  Yes

  No

  N/A

• Signature

  Sign