Lumiform / Templates / Annual Fire Extinguisher Inspection Checklist

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.

Downloaded 195 times

★ ★ ★ ★ ★

Rated 5/5 stars on Capterra

Say goodbye to paper checklists!

Lumiform enables you to conduct digital inspections via app easier than ever before

Cut inspection time by 50%
Uncover more issues and solve them 4x faster
Select from over 5,000 expert-proofed templates

Digitalize this paper form now

Cut inspection time by 50%
Uncover more issues and solve them 4x faster
Select from over 4000 expert-proofed templates

★ ★ ★ ★ ★

Rated 5/5 stars on Capterra

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

This template is also available in:

Previous template

Next template

Please note that this checklist template is a hypothetical appuses-hero 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.

Similar templates

Plan projects with an APQP pro...

See details

Use this APQP checklist to determine the system-level project plans used and many other things.

Project evaluation templates

Automotive Services Job Sheet

See details

This automotive services job sheet template is specifically intended for automotive businesses and companies.

Vehicle Templates