U3 - Fire Extinguisher Monthly Inspection

• Site conducted

  Select

• Conducted on

  Date
• Location
  Address

• Inspector(s)

U3 - FE - 30 / 31 - Reception

• Is the Fire Extinguisher easily accessible and unobstructed (no debris or objects stacked in front or around it) ?

  Yes

  No

  N/A

• Are safety pins in place and intact?

  Yes

  No

  N/A

• Is the location of the extinguisher easily identifiable?

  Yes

  No

  N/A

• Are labels clear and extinguisher types and instructions can be easily read?

  Yes

  No

  N/A

• Are handles intact and not bent or broken?

  Yes

  No

  N/A

• Are pressure gauges in the green and not damaged or showing "recharge" ?

  Yes

  No

  N/A

• Are discharge hoses / nozzle in good shape and not clogged, cracked or broken ?

  Yes

  No

  N/A

• Are extinguishers free of rust or any type of corrosion build up ?

  Yes

  No

  N/A

• Has the extinguisher been turned upside down and shaken at least three (3) times ?

  Yes

  No

  N/A

U3 - FE - 32 - Toilets (External)

• Is the Fire Extinguisher easily accessible and unobstructed (no debris or objects stacked in front or around it) ?

  Yes

  No

  N/A

• Are safety pins in place and intact?

  Yes

  No

  N/A

• Is the location of the extinguisher easily identifiable?

  Yes

  No

  N/A

• Are labels clear and extinguisher types and instructions can be easily read?

  Yes

  No

  N/A

• Are handles intact and not bent or broken?

  Yes

  No

  N/A

• Are pressure gauges in the green and not damaged or showing "recharge" ?

  Yes

  No

  N/A

• Are discharge hoses / nozzle in good shape and not clogged, cracked or broken ?

  Yes

  No

  N/A

• Are extinguishers free of rust or any type of corrosion build up ?

  Yes

  No

  N/A

• Has the extinguisher been turned upside down and shaken at least three (3) times ?

  Yes

  No

  N/A

U3 - FE - 33 / 34 - Business Development

• Is the Fire Extinguisher easily accessible and unobstructed (no debris or objects stacked in front or around it) ?

  Yes

  No

  N/A

• Are safety pins in place and intact?

  Yes

  No

  N/A

• Is the location of the extinguisher easily identifiable?

  Yes

  No

  N/A

• Are labels clear and extinguisher types and instructions can be easily read?

  Yes

  No

  N/A

• Are handles intact and not bent or broken?

  Yes

  No

  N/A

• Are pressure gauges in the green and not damaged or showing "recharge" ?

  Yes

  No

  N/A

• Are discharge hoses / nozzle in good shape and not clogged, cracked or broken ?

  Yes

  No

  N/A

• Are extinguishers free of rust or any type of corrosion build up ?

  Yes

  No

  N/A

• Has the extinguisher been turned upside down and shaken at least three (3) times ?

  Yes

  No

  N/A

U3 - FE - 35 / 36 - Upper Corridor

• Is the Fire Extinguisher easily accessible and unobstructed (no debris or objects stacked in front or around it) ?

  Yes

  No

  N/A

• Are safety pins in place and intact?

  Yes

  No

  N/A

• Is the location of the extinguisher easily identifiable?

  Yes

  No

  N/A

• Are labels clear and extinguisher types and instructions can be easily read?

  Yes

  No

  N/A

• Are handles intact and not bent or broken?

  Yes

  No

  N/A

• Are pressure gauges in the green and not damaged or showing "recharge" ?

  Yes

  No

  N/A

• Are discharge hoses / nozzle in good shape and not clogged, cracked or broken ?

  Yes

  No

  N/A

• Are extinguishers free of rust or any type of corrosion build up ?

  Yes

  No

  N/A

• Has the extinguisher been turned upside down and shaken at least three (3) times ?

  Yes

  No

  N/A

U3 - FE - 37 / 38 - Upper Corridor

• Is the Fire Extinguisher easily accessible and unobstructed (no debris or objects stacked in front or around it) ?

  Yes

  No

  N/A

• Are safety pins in place and intact?

  Yes

  No

  N/A

• Is the location of the extinguisher easily identifiable?

  Yes

  No

  N/A

• Are labels clear and extinguisher types and instructions can be easily read?

  Yes

  No

  N/A

• Are handles intact and not bent or broken?

  Yes

  No

  N/A

• Are pressure gauges in the green and not damaged or showing "recharge" ?

  Yes

  No

  N/A

• Are discharge hoses / nozzle in good shape and not clogged, cracked or broken ?

  Yes

  No

  N/A

• Are extinguishers free of rust or any type of corrosion build up ?

  Yes

  No

  N/A

• Has the extinguisher been turned upside down and shaken at least three (3) times ?

  Yes

  No

  N/A

Further Actions

• Are any other issues identified? (Please give photographic evidence)

  Good Practice

  Non-conformance

  Opportunity for Improvement

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• Inspector Sign Off

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