WORKPLACE INSPECTION NO 18: FIRE EXTINGUISHER

• Inspector:

• Supervisor:

• Company:

• Location:
  Address

• Date:

  Date

INSPECTION

• Fire Extinguisher label is clear and extinguisher type and instructions can be read easily

  Yes

  No

  N/A

• Fire extinguisher mounted in an easily accessible place, no debris or material stacked in front of it

  Yes

  No

  N/A

• Fire extinguisher pressure gauge in in the green and is not damaged or showing “recharge”

  Yes

  No

  N/A

• Is extinguisher free from signs of corrosion or rust (incl. tap- test)?

  Yes

  No

  N/A

• Safety pin is in place and intact. Nothing else should be used in place of the pin

  Yes

  No

  N/A

• Fire extinguisher within the annual inspection date

  Yes

  No

  N/A

• Fire extinguisher is unobstructed and clearly visible

  Yes

  No

  N/A

• Handle is intact and not bent or broken

  Yes

  No

  N/A

• Discharge hoses/nozzle is in good shape and not clogged, cracked, or broken

  Yes

  No

  N/A

• Fire extinguisher was turned upside down at least three times (Shaken)

  Yes

  No

  N/A

Inspection Team

• Signature:

  Sign

• Signature:

  Sign

• Signature:

  Sign