Fire Extinguishers Inspection Form

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Fire Extinguishers
Fire extinguishers must be readily available and accessible to staff members at all times.
Locations
1. _________________________________ 2. _________________________________
3. _________________________________ 4. _________________________________
5. _________________________________ 6. _________________________________
7. _________________________________ 8. _________________________________
Monthly inspection should be performed and documented on the tag attached to the
extinguisher.
o Turn canister upside down, shake, and tap the bottom with a rubber mallet. This is
to loosen the powder inside to prevent caking
o Check for damage, corrosion, leakage
o
Discharge outlet is clear of obstruction, except for cotton ball to deter dirt daubers
o Tamper seal is intact
o No dents or damage to the extinguisher body and discharge valve assembly
o Clean extinguisher so that instructions on name plate are clearly visible
o Needle indicator on pressure gauge should be in the green area, pointing straight up
 Changes in temperature may cause the pressure gauge indicator to vary
within the green area on stored extinguishers. The green area is the charged
zone. When the temperature is cold, the indicator may read on the low side
of the charged zone and if the temperature is hot, it may read on the high
side of the charged zone.
 The true pressure reading may be verified by placing the extinguisher at
room temperature (70 F) for 24 hours.
o If any problems are found, contact Company listed below.
o Annual Maintenance should be done by a trained professional.
 Name of Fire Extinguisher Company____________________________
 Address __________________________________________________
 Phone ______________________________
Six Year maintenance –the extinguisher shall be emptied and undergo a thorough exam by
the company listed above.
Recharge of the unit should be done immediately after use. Contact [Name of Fire
Extinguisher Company] Fire Extinguisher Company in [Town], [Phone]

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