• Client/Rig/Office/Shop/Location/Fire Extinguisher #

  • Conducted on

  • Location

Visual Inspections

  • Add Fire Extinguisher to Inspect

  • Fire Extinguisher
  • Date of Last Annual Inspection

  • Date of Hydro Test

  • Fire Extinguisher Location

  • 1. Free and clear access to fire extinguisher is maintained

  • 2. Extinguisher is in designated area

  • 3. Pin is in place and tab is not broken

  • 4. The charge indicator is in the full range (green)

  • 5. Fire extinguisher is still full (heavy to lift)

  • 6. No indication of physical damage (corrosion, leakage)

  • 7. Hose appears in good shape and nothing inside of the nozzle

  • 8. Monthly inspection noted on extinguisher tag

  • 9. Operating instructions are legible on the fire extinguisher

  • 10. Fire extinguisher has been turned 180 degrees to ensure chemical is not packed in the cylinder.

  • Competency Evaluation was Performed by:

  • Monthly fire extinguisher inspections are required. Visually inspect the fire extinguisher looking for broken parts, corrosion, or leakage. Ensure the fire extinguisher is fully charged by looking at the gauge and lifting it. Ensure access to the fire extinguisher is not blocked and there is signage to indicate where the fire extinguisher is located. Sign off the appropriate month you have inspected the fire extinguisher on the annual inspection label.

  • Employee/Contractors Name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.