Title Page
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Location
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Conducted on
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Conducted by
1. Fire Extinguisher Criteria
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Is the signage around the equipment visible and accurate?
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Is the area around the equipment free of clutter and obstructions?
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Is the equipment free from visible defects (leaks, dents, corrosion, hose tears, etc)?
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Is the safety pin in place and free from damage?
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Does the equipment have a clear label with instructions on how to use it?
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Is the hose in working condition, free of blockages and debris?
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Is the equipment in a cabinet or securely mounted to the wall?
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Has all irreparable equipment been removed from service and disposed of?
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Has all damaged equipment been removed from service and scheduled for repair?
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Has an annual inspection tag been affixed to the equipment?
Sign Off
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Date
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Conducted by