Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Data center
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Is the extinguisher clear of obstructions?
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Is the gauge in the acceptable range?
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Is the hose in good condition?
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Was unit turned upside down 3 times
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Is the exit light indicator on?
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Is the exit light free of physical damage or obstruction?
Front hall way
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Is the extinguisher clear of obstructions?
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Is the gauge in the acceptable range?
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Is the hose in good condition?
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Was unit turned upside down 3 times
Break room
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Is the extinguisher clear of obstructions?
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Is the gauge in the acceptable range?
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Is the hose in good condition?
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Was unit turned upside down 3 times
Back hall
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Is the extinguisher clear of obstructions?
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Is the gauge in the acceptable range?
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Is the hose in good condition?
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Was unit turned upside down 3 times
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Is the exit light indicator on?
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Is the exit light free of physical damage or obstruction?
Furnace closet
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Is the extinguisher clear of obstructions?
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Is the gauge in the acceptable range?
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Is the hose in good condition?
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Was unit turned upside down 3 times
Board Room
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Is the exit light indicator on?
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Is the exit light free of physical damage or obstruction?
Signature
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Signature
