MSAP - Emergency Equipment Inspection - A

• Area:

• Area Supervisor:

• Inspected By:

• Role:

• Date:

  Date

Emergency Equipment

• # Of Fire Extenguishers Checked:

• # Of First Aid Kits Checked:

• # Of Eye Wash Stations Checked:

• Others:

Fire Extenguishers

Fire Extinguisher

• Is the extinguisher in it's designated place and clearly visible?

  Yes

  No

  N/A

• Is the visual inspection seal still intact?

  Yes

  No

  N/A

• Is the guage in the green? (CAP models have a RED stem indicator)

  Yes

  No

  N/A

• Is it easily accessible with no obstructions?

  Yes

  No

  N/A

• Is the bracket in good condition?

  Yes

  No

  N/A

• Is the tag up to date with inspections?

  Yes

  No

  N/A

• # of Defective Fire Extinguisher and Location:

Eye Wash Stations

Eye Wash Station

• Is the seal still intact?

  Yes

  No

  N/A

• Is the eye wash solution still good?

  Yes

  No

  N/A

• Is the area clear for easy access for use?

  Yes

  No

  N/A

First Aid Kits

First Aid Kit

• Is the seal still intact?

  Yes

  No

  N/A

• Are they in an accessible and visible location?

  Yes

  No

  N/A

• *If the seal is broken please bring to the nursing station for replacement

• Comments:

• Actions:

• Department:

• Supervisor:

• General Foreman:

• Signature:

  Sign