Annual Fire Extinguisher Certificate Of Maintenance
We have today inspected and serviced as necessary to BS5306; Parts 3 & 8 2009, THE FOLLOWING EXTINGUISHERS WHICH WERE LEFT IN GOOD WORKING ORDER except where indicated below: PLEASE NOTE COMMENTS BELOW UNDER SPECIAL REMARKS
Schedule Of Equipment
Number of Water Extinguishers
Number of Foam Extinguishers
Number of Carbon Dioxide Extinguishers
Number of Dry Powder Extinguishers
Number of Wet Chemical Extinguishers
Number of FE-36 Extinguishers
Number of Fire Blankets
Special Remarks & Parts used
Do any Extinguishers require refilling & recharging
Do any Water, Foam or Dry Powder Extinguishers require "Extended Maintenance"
Do any Carbon Dioxide Extinguishers require "Overhaul Maintenance"
Have the above been passed fit for use
If No, have these been Condemned
If No, have these been replaced
Have all Extinguishers been passed fit for use
Are all Extinguishers either wall mounted on Brackets or Extinguisher Stands
Is there adequate provision of Portable Fire Extinguishers
Are all Extinguisher locations and type clearly marked with Identification Signs
Next Maintenance Inspection due
Routine Inspection By User It is recommended that regular inspection of all extinguishers, spare gas cartridges and replacement charges should be carried out by the user or user's representative at intervals, to make sure that appliances are in their proper position and have not been discharged, or lost pressure (in the case of fire extinguishers fitted with a pressure indicator), or suffered obvious damage. The frequency of inspection should not be less than quarterly, and preferably at least monthly. The user should replace existing extinguishers not available for use by serviceable extinguishers. Under Contract to RENOVATIO FIRE SAFETY LIMITED. Agreement No: 262221
Maintenance Technician: [Name]
Signature of Responsible Person
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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