Page 1: Initial questions
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Conducted on
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Name of Employee
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Location
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Please put the location (Vehicle or Site) of the extinguisher being inspected and the last 6 digits of the VIN attached to the truck of where the extinguisher is located, if applicable. If it is at a site, please note the site and the location of the extinguisher within the site.
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Fire Extinguisher Being Inspected
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Photo of extinguisher being inspected.
Page 2: Main checklist
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Only answer the questions that apply to your type of extinguisher. Is it a stored pressure or a cartridge?
Stored Pressure Checklist
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Is security tie in place?
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Is gauge pressure in the green?
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Visually inspected hose. Is it free from damage or obstructions?
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Does weight or "heft" determine fullness?
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Visually inspect cylinder. Is it free of corrosion, damage, or leaks?
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Do you feel this fire extinguisher is worthy of use?
Cartridge Checklist
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Is security tie in place?
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Is the indicator button in the down position (red button on top)?
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Visually inspected hose. Is it free from damage or obstructions?
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Weight or "heft" determines fullness. Is the extinguisher appear to be full?
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Visually inspect cylinder. Is it free of corrosion, damage, or leaks?
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Remove cover and inspect cartridge. Is cartridge attached in in working order and no visible corrosion?
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Is handle in working order?
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Do you feel this fire extinguisher is worthy of use?
