SSC Old Pavilion Weekly Fire extinguisher check

• Conducted on

  Date

Home side Foam fire extinguisher

• Is the Foam extinguisher in place?

  Yes

  No

  N/A

• Does the extinguisher have intact tags?

  Yes

  No

  N/A

• Is the extinguisher full (check the gauge)?

  Yes

  No

  N/A

• is the information sign in place next to or above the extinguisher?

  Yes

  No

  N/A

Home Side main entrance CO2 fire extinguisher

• Is the CO2 extinguisher in place?

  Yes

  No

  N/A

• Does the extinguisher have intact tags?

  Yes

  No

  N/A

• is the information sign in place next to or above the extinguisher?

  Yes

  No

  N/A

• is the fire blanket in place (kitchen)?

  Yes

  No

  N/A

Refs room CO2 fire extinguisher

• Is the CO2 extinguisher in place?

  Yes

  No

  N/A

• Does the extinguisher have intact tags?

  Yes

  No

  N/A

• is the information sign in place next to or above the extinguisher?

  Yes

  No

  N/A

• is the fire blanket in place (kitchen)?

  Yes

  No

  N/A

Away side Foam fire extinguisher

• Is the Foam extinguisher in place?

  Yes

  No

  N/A

• Does the extinguisher have intact tags?

  Yes

  No

  N/A

• Is the extinguisher full (check the gauge)?

  Yes

  No

  N/A

• is the information sign in place next to or above the extinguisher?

  Yes

  No

  N/A

• Signed by

  Sign