Information

1. Audit Information

  • Customer Name

  • Site Address
  • Telephone

  • Customer Code

  • Report No.

  • Date Serviced

  • Customer Order No.

2. Service Interval

  • Full Service

  • Part Service (Unscheduled):

3. Inspection Details - Actions Taken

  • Water CO2 6L (C Code: W6)

  • Water Co2 9L (W9)

  • Water SP 9L WS9

  • Foam AFF 2L F2

  • Foam AFF 3L F3

  • Foam AFF 6L F6

  • Foam AFF 9L F9

  • CO2 1.1KG C1

  • CO2 2.2KG C2

  • CO2 3.2KG C3

  • CO2 4.5KG C5

  • CO2 6.8KG C7

  • CO2 10KG C10

  • Powder/1KG D1

  • Powder/2KG D2

  • Powder/3KG D3

  • Powder/4KG D4

  • Powder/6KG D6

  • Powder/9KG D9

  • Halon H1

  • Hydrospray 3L H3

  • Hydrospray 6L H6

  • Hydrospray 9L H9

  • Hose Reels HR

  • F/Blankets 1.2 x 1.2m FB4

  • F/Blankets 1.2 x 1.8m FB6

  • Wet Chemicals WC6

  • Site Status

4. Inspection Details - Descriptions & Quantities

  • Headcap / Squeeze Grip HSG

  • Headcap / Hose & Nozzle HHN

  • Discharge Hose DH

  • Safety Clip/Pin SC

  • Valve Ass. (CO2) VA

  • Hose Ass. (CO2) HA

  • Hose & Horn Assy. (CO2)

  • Headcap Washer HW

  • Hose / CO2 Washer HWA

  • Headcap Dip Tube HDT

  • Brackets Wall (9lt. Type) WB

  • Brackets Wall (CO2 type) CB

  • Hose Reel Nozzle HRN

  • Hose Reel Tubing HRT

  • Jubilee Clip JC

  • Tamper Tags TT

  • OK Indicators OK

  • Gauge Test GT

  • Delivery Charge DC

  • Appliances Fixed AF

  • Rotary Hand Bell RHB

  • Condemned Exts Removed CON

  • Cartridge 55/75 CART

  • New Base FEB

  • Sterilising Tablet TAB

Additional Service Details

  • Recommendations

  • Missing Equipment

6. Declaration

  • I/We hereby certify that the fire extinguishing appliances as detailed above have been serviced/supplied in accordance with British Standards.

  • Engineer's Name (print)

  • Engineer's Signature

  • Customer's Name (print)

  • Customer's Signature

Guidance to Clients

  • Inspection by the user - It is recommended that regular visual inspections of all portable fire extinguishers be carried out by the user or user's representative. The frequency of inspections by the user should not be less than monthly and, when circumstances require, inspections should be carried out more frequently.

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