Title Page
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Site conducted
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Conducted on
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Sub Contractor
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Prepared by
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Location
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Extinguisher Identification Numbers
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Extinguisher ID
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Type
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Extinguisher ID
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Type
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Extinguisher ID
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Type
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Extinguisher ID
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Type
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Extinguisher ID
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Type
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Inspection
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Is fire extinguisher in good condition (ANY SIGN OF WEAR, TEAR OR RUST)
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Is the locking pin intact and tamper seal unbroken
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Is pressure guage at a safe level
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Are all warning and instruction labels in good condition and easy to read
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Date of next annual inspection (ALL FIRE EXTIGUISHERS MUST BE INSPECTED BY A COMPETENT PERSON ANNUALLY)
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COMMENTS
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Inspectors signature
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Add signature
