WBESS Annual Fire Extinguisher Maintenance Form

• Site conducted

  Select

Job Details

• Client / Site

• Engineer ID No.

• Call No.

• Engineer

• Date

  Date

• Job Status

  Complete

  Incomplete

• Equipment Schedule to be updated

  Yes

  No

• Works to be Quoted

  Yes

  No

Job Information

• No. Hours

• Arrival Time

  Date

• Departure Time

  Date

Schedule of Equipment

• Number of Water Extinguishers

• Number of Foam Extinguishers

• Number of Co2 Extinguishers

• Number of Dry powder Extinguishers

• Number of Wet Chemical Extinguishers

• Number of FE-36 Extinguishers

• Number of Fire Blankets

Works Carried Out

• Details of Work

• How many Extinguishers have been condemned

• Have these been replaced

  Yes

  No

• Are all Extinguishers wall mounted or on Extinguisher stands

  Yes

  No

• How many require extra brackets of stands

• Is there adequate provision of portable Fire Extinguishers

  Yes

  No

• If no to the above recommend where

• Are all Extinguisher locations and types clearly marked with Identification Signs

  Yes

  No

• If not to the above recommend where

  Yes

  No

• Photos of Works

  Media

Recommendations

• undefined

Site Details

• Other Site Information

TERMS & CONDITIONS Our full terms and conditions are detailed on our company website or available upon request. Maintenance work carried out in accordance with BS5306; Parts 3 and 8, THE FOLLOWING EXTINGUISHERS WHICH WERE LEFT IN GOOD WORKING ORDER except where indicated above. By signing this form I agree that the engineer has been on site for the time detailed, the works carried out are completed as described above and that I am authorised to sign this form on behalf of the organisation. This work will be charged for at a pre agreed fixed cost or at our scheduled rates. Available on request. Registered Office: 90 New Town Row, Birmingham, B6 4HZ

• Customer Signature

  Sign