Triple Star Fire (Southern) Limited Portable Fire Fighting Equipment Engineers Report & Certificate

• Report Number:

• Works Address:

• Date:

  Date

Schedule of Equipment

• I hereby certify the fire equipment, as set out below, has been inspected in accordance with BS 5306-3:2009 and the results indicated below:

• No. of Carbon Dioxide (CO2) extinguishers recorded as INSPECTED

• No. of Carbon Dioxide (CO2) extinguishers recorded as GOOD

• No. of Carbon Dioxide (CO2) extinguishers recorded as CONDEMNED and/or UNSAFE FOR SERVICE

• No. of Carbon Dioxide (CO2) extinguishers recorded as REFILLED and/or RECHARGED

• No. of Foam extinguishers recorded as INSPECTED

• No. of Foam extinguishers recorded as GOOD

• No. of Foam extinguishers recorded as CONDEMNED and/or UNSAFE FOR SERVICE

• No. of Foam extinguishers recorded as REFILLED and/or RECHARGED

• No. of Water extinguishers recorded as INSPECTED

• No. of Water extinguishers recorded as GOOD

• No. of Water extinguishers recorded as CONDEMNED and/or UNSAFE FOR SERVICE

• No. of Water extinguishers recorded as REFILLED and/or RECHARGED

• No. of Dry Powder extinguishers recorded as INSPECTED

• No. of Dry Powder extinguishers recorded as GOOD

• No. of Dry Powder extinguishers recorded as CONDEMNED and/or UNSAFE FOR SERVICE

• No. of Dry Powder extinguishers recorded as REFILLED and/or RECHARGED

• No. of Wet Chemical extinguishers recorded as INSPECTED

• No. of Wet Chemical extinguishers recorded as GOOD

• No. of Wet Chemical extinguishers recorded as CONDEMNED and/or UNSAFE FOR SERVICE

• No. of Wet Chemical extinguishers recorded as REFILLED and/or RECHARGED

• No. of Fire Blankets recorded as INSPECTED

• No. of Fire Blankets recorded as GOOD

• No. of Fire Blankets recorded as CONDEMNED

• No. of Hose Reels recorded as INSPECTED

• No. of Hose Reels recorded as GOOD

• No. of Hose Reels recorded as UNFIT FOR SERVICE

Technicians Observations and Comments

• Has a fire risk assessment been carried out and documented in the last 12 months?

  Yes

  No

  N/A

• A fire risk assessment is a legal requirement for virtually all non-domestic premises, and for certain multiple-occupancy dwellings and parts of such dwellings. Guidance is given in PAS 79.

• Is the minimum quantities of class A extinguishers achieved?

  Yes

  No

  N/A

• Class A materials are generally present in all premises and occupancies. The minimum quantity of extinguishers with an A rating should be calculated as follows:
  a) for any storey with a floor area less than or equal to 400 m2, there should be:
  1) at least two (2) extinguishers with a class A rating; having
  2) a combined minimum total fire rating of.

• Are any additional extinguishers required to ensure that the level of cover at the premises is at least sufficient and, where applicable, in accordance with BS 5306-8.

  Yes

  No

  N/A

• Have site personnel been trained in the use of extinguishers?

  Yes

  No

  N/A

• The competent person should bring to the attention of the responsible person the legal requirement for training. Every opportunity should be taken to instruct personnel in the use of extinguishers, and to demonstrate their performance.
  Extinguishers for different fire classifications will have different training requirements.
  
  NOTE Attention is drawn to legal obligations concerning training for the use of fire extinguishers.

• Are powder fire extinguishers present within this premise?

  Yes

  No

  N/A

• The discharge of a powder extinguisher within buildings can cause a sudden reduction of visibility and can also impair breathing, which could temporarily jeopardise escape, rescue or other emergency action. For this reason, powder extinguishers should generally not be specified for use indoors, unless mitigated by a health and safety risk assessment.

• Are the extinguishers available for immediate use at all times?

  Yes

  No

  N/A

• This is achieved by siting extinguishers in conspicuous positions on brackets, on floor stands or within cabinets.

• Is the position and type of a fire extinguisher indicated on a sign so that, if the extinguisher is removed, this can be identified during a safety inspection, and a replacement ordered.

  Yes

  No

  N/A

• Attention is drawn to Health and Safety (Safety Signs and Signals) Regulations 1996 [6] and the Health and Safety (Safety Signs and Signals) Regulations (Northern Ireland) 1996 [7] in respect of indicating the location of fire-fighting equipment.

• Are extinguishers mounted correctly?

  Yes

  No

  N/A

• Small extinguishers with a mass up to and including 4 kg should be mounted so as to position the handle approximately 1.5 m from the floor. The carrying handle of larger, heavier extinguishers should be approximately 1 m from the floor (but see Note).
  WARNING. Care should be taken to ensure that extinguishers do not themselves cause injuries by being dislodged and falling onto limbs or bodies.
  NOTE Extinguishers may also be positioned on fire-stands, fire-points or in cabinets, in which case these height recommendations need not be followed.

• Is the provision of replacement extinguishers achieved?

  Yes

  No

  N/A

• The responsible person should ensure that the provision of extinguishers on site does not fall below the minimum recommended by this part of BS 5306 and the fire risk assessment. Discharged extinguishers should therefore be recharged or replaced after use. This may be achieved by making sufficient spare extinguishers available.

• Engineers Comments

Fire Safety Log Book

• Is there a fire safety log book available?

  Yes

  No

  N/A

• A fire safety logbook and maintenance record should remain on the premises at all times. The register will assist in proving compliance with your legal responsibilities in relation to fire safety and should be completed following the inspection, test and maintenance of any of the items required by the legislation.
  The logbook should be available for inspection by any Fire Officer who inspects your premises under the Regulatory Reform (Fire Safety) Order 2005 or by any service engineer as required.

Responsible Person

• I hereby confirm that I fully understand the finds of this report and that all works have been completed to my satisfaction. I also confirm that I am duly authorised to sign this document.

  Sign

• Email Address

Competent Person

• Works as detailed on this report have been carried out for and on behalf of Triple Star Fire (Southern) Limited by our BAFE Registered Extinguisher Technician:

  Daren Pool

  Chris Pool

  Gareth Owen-Williams

Equipment Supplied

• Tamper Evident Pin and Seal

• Tamper Evident Pull Seal

• Discharge Hose O-Ring

• Horn Washer/O-Ring

• Gauge Pressure Test

• Gauge Dot

• Safety Pin/Clip

• Frost Free Discharge Horn

• Hose Reel Nozzle

• Hose Reel Jubilee Clip

• Service Exchange - 2kg Carbon Dioxide (CO2) Extinguisher

• Service Exchange - 5kg Carbon Dioxide (CO2) Extinguisher

• Service Exchange - Water Extinguisher

• Service Exchange - Foam Extinguisher

• Service Exchange - Dry Powder Extinguisher

• Service Exchange - Wet Chemical Extinguisher

• Wall Fixing Kit (Bracket & Labour)

• 2kg Carbon Dioxide (CO2) Fire Extinguisher

• 5kg Carbon Dioxide (CO2) Fire Extinguisher

• 2ltr Foam Fire Extinguisher

• 3ltr Foam Fire Extinguisher

• 6ltr Foam Fire Extinguisher

• 9ltr Foam Fire Extinguisher

• 6ltr Water Fire Extinguisher

• 9ltr Water Fire Extinguisher

• 2kg ABC Dry Powder Fire Extinguisher

• 4kg ABC Dry Powder Fire Extinguisher

• 6kg ABC Dry Powder Fire Extinguisher

• 9kg ABC Dry Powder Fire Extinguisher

• 6ltr Wet Chemical Fire Extinguisher

• 1.2 x 1.2m Fire Blanket

• Environmental disposal of fire fighting equipment by Licensed Waste Carriers.

• Extinguishers Initial Commission in accordance with BS 5306-3:2009

• Single Stand (Red)

• Double Stand (Red)

• Single Stand (Chrome)

• Double Stand (Chrome)

• Single Cabinet

• Double Cabinet

• Fire Extinguisher Cover (Medium)

• Fire Extinguisher Cover (Large)

• Fire Equipment ID Photoluminescent Rigid Plastic Sign

• Directional Photoluminescent Rigid Plastic Sign

• Push Bar to Open Photoluminescent Rigid Plastic Sign

• Fire Exit Keep Clear Photoluminescent Rigid Plastic Sign

• Fire Action Photoluminescent Rigid Plastic Sign

• Manual Call Point Photoluminescent Rigid Plastic Sign

• Fire Door Sign Photoluminescent Rigid Plastic Sign

• Do Not Use the Lift Photoluminescent Rigid Plastic Sign

• Risk of Electric Shock Photoluminescent Rigid Plastic Sign

• Turn to Open Photoluminescent Rigid Plastic Sign

• No Smoking Rigid Plastic Sign

• Fire Safety Log Book

• Document Cabinet

• Key Cabinet

Important Information

• The impact of the discharge of the extinguishing medium on the environment should be taken into account. Extinguishing medium can cause collateral damage to many things such as, but not restricted to, food, machinery, building fabric, fixtures, fittings, artefacts and sensitive equipment. Expert advice on the impact of the discharge from a fire extinguisher on the local environment should be sought from a competent person.