Portable Fire Extinguisher Inspection Form - Monthly Record

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Portable Fire Extinguisher Inspection Checklist
Monthly inspection shall include a check of at least the following:
• Is the fire extinguisher unobstructed and accessible?
• Is it hung on a bracket?
• Is it positioned at a height no higher than four feet?
• Are the operating instructions on nameplate legible?
• Is the nozzle (hose) intact?
• Is the nozzle (hose) free and clear of debris?
• Is the pin intact?
• Is the anti-tamper (plastic) seal intact?
• Does the gauge show in the green – fully charged?
• Is the Service company tag attached, signed and dated (annual)?
Corrective Action:
When an inspection of a fire extinguisher reveals a deficiency in any of the conditions listed
above, immediate corrective action should be taken.
• Keep records of inspections.
Inspections:
Monthly Inspection
Internal
Annual Inspection
Fire Protection Company
Six-Year Service
Fire Protection Company
Twelve-Year Hydro Test
Fire Protection Company

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