Information
1. Audit Information
-
Customer Name
- Genesis
- Poplar Harca
- Southwark
- Lambeth Living
- London & Quadrant
- Thames Valley Housing
- Red Kite
-
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)
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Water Co2 9L (W9)
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Water SP 9L WS9
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Foam AFF 2L F2
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Foam AFF 3L F3
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Foam AFF 6L F6
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Foam AFF 9L F9
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
CO2 1.1KG C1
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
CO2 2.2KG C2
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
CO2 3.2KG C3
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
CO2 4.5KG C5
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
CO2 6.8KG C7
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
CO2 10KG C10
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Powder/1KG D1
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Powder/2KG D2
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Powder/3KG D3
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Powder/4KG D4
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Powder/6KG D6
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Powder/9KG D9
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Halon H1
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Hydrospray 3L H3
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Hydrospray 6L H6
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Hydrospray 9L H9
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Hose Reels HR
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
F/Blankets 1.2 x 1.2m FB4
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
F/Blankets 1.2 x 1.8m FB6
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Wet Chemicals WC6
- Serviced
- Removed For refilling/Test
- D - Discharge Test
- R - Refilled
- RN - Full Renovate
- Missing or Failed
- Condemned - Non Maintained
- New Equipment Supplied
-
Site Status
4. Inspection Details - Descriptions & Quantities
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.