Title Page

  • Conducted on

  • Prepared by

  • Location

Data center

  • Is the extinguisher clear of obstructions?

  • Is the gauge in the acceptable range?

  • Is the hose in good condition?

  • Was unit turned upside down 3 times

Front hall way

  • Is the extinguisher clear of obstructions?

  • Is the gauge in the acceptable range?

  • Is the hose in good condition?

  • Was unit turned upside down 3 times

Break room

  • Is the extinguisher clear of obstructions?

  • Is the gauge in the acceptable range?

  • Is the hose in good condition?

  • Was unit turned upside down 3 times

Back hall

  • Is the extinguisher clear of obstructions?

  • Is the gauge in the acceptable range?

  • Is the hose in good condition?

  • Was unit turned upside down 3 times

Furnace closet

  • Is the extinguisher clear of obstructions?

  • Is the gauge in the acceptable range?

  • Is the hose in good condition?

  • Was unit turned upside down 3 times

Signature

  • Signature

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