Information

  • Area:

  • Area Supervisor:

  • Inspected By:

  • Role:

  • Date:

Emergency Equipment Inspection

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?

  • Is the visual inspection seal still intact?

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

  • Is it easily accessible with no obstructions?

  • Is the bracket in good condition?

  • Is the tag up to date with inspections?

  • # of Defective Fire Extinguisher and Location:

Eye Wash Stations

    Eye Wash Station
  • Is the seal still intact?

  • Is the eye wash solution still good?

  • Is the area clear for easy access for use?

First Aid Kits

    First Aid Kit
  • Is the seal still intact?

  • Are they in an accessible and visible location?

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

  • Comments:

  • Actions:

  • Department:

  • Supervisor:

  • General Foreman:

  • Signature:

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