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Annual Fire Extinguisher Inspection Checklist

Use this template to conduct annual maintenance fire extinguisher inspection. Auditor will check equipment inspection tags and ensure that the equipment has undergone initial inspections.
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Annual Fire Extinguisher Inspection Checklist

Audit

INSTRUCTIONS------------------------1. Start by filling out the necessary information.2. Assess the following by answering:”Good, Fair or Poor” on the questions below. 3. Add photos, notes and identified defects by clicking on the paperclip icon. 4. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date.5. Complete audit by providing digital signature.6. Share your report by exporting as PDF, Word, Excel or Web Link

Extinguishers present in the premise

Water Extinguishers

No. of Water Extinguishers

Take a photo

Maintenance

General Condition of the extinguishers mechanical parts

General Condition of the extinguishers agent

General Condition of the extinguishers expelling means

Foam Extinguishers

No. of Foam Extinguishers

Take a photo

Maintenance

General Condition of the extinguishers mechanical parts

General Condition of the extinguishers agent

General Condition of the extinguishers expelling means

Dry Powder Extinguishers

No. of Dry Powder Extinguishers

Take a photo

Maintenance

General Condition of the extinguishers mechanical parts

General Condition of the extinguishers agent

General Condition of the extinguishers expelling means

Carbon Dioxide Extinguishers

No. of Carbon Dioxide Extinguishers

Take a photo

Maintenance

General Condition of the extinguishers mechanical parts

General Condition of the extinguishers agent

General Condition of the extinguishers expelling means

Wet Chemical Extinguishers

No. of Wet Chemical Extinguishers

Take a photo

Maintenance

General Condition of the extinguishers mechanical parts

General Condition of the extinguishers agent

General Condition of the extinguishers expelling means

Summary and Completion

Total Number of Extinguishers inspected within the premises. (Interior and Exterior)

Total Number of Repaired Extinguishers

Total Number of Replaced Extinguishers

Overall comments of the 12 month inspections

I hereby confirm that the Annual Fire Extinguisher Inspection was performed by an approved extinguisher servicing company.

Name and Signature of Inspector

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