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Fire EXTINGUISHER MAINTENANCE INSPECTION CHECKLIST

This document contains an appendix with a fire extinguisher maintenance inspection checklist. It includes sections for factory information, installation/service contractor information, and witness information. The checklist contains 9 items to inspect on fire extinguishers, such as location, obstructions, operating instructions, seals/tampers, fullness, damage/corrosion, pressure gauge, and condition of wheeled unit parts if applicable. The inspector and factory owner must sign off on the inspection.

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317 views2 pages

Fire EXTINGUISHER MAINTENANCE INSPECTION CHECKLIST

This document contains an appendix with a fire extinguisher maintenance inspection checklist. It includes sections for factory information, installation/service contractor information, and witness information. The checklist contains 9 items to inspect on fire extinguishers, such as location, obstructions, operating instructions, seals/tampers, fullness, damage/corrosion, pressure gauge, and condition of wheeled unit parts if applicable. The inspector and factory owner must sign off on the inspection.

Uploaded by

Jahazi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPENDIX (Fire EXTINGUAISHER MAINTENANCE INSPECTION CHECKLIST)

To be completed by the Inspector at the time of Inspection


Attach additional sheets, data or calculation as necessary to provide a complete record

FACTORY INFORMATION
Factory Name: _____________________________________________________
Address: _________________________________________________________
Representative Name: ________________________________________________
Designation: ______________________________________________________
Phone: _________________ Fax: _______________
E-mail:_________________

INSTALLATION, SERVICE AND TESTING CONTRACTOR INFORMATION (IF


APPLICABLE)
Contractor Name: ___________________________________________________
Address: _________________________________________________________
Inspector or Tester Name: _____________________________________________
Qualification of Inspector or Tester: ______________________________________
Phone: _________________ Fax: _______________
E-mail:_________________
A Contract for Inspection & testing in accordance with NFPA is in effect as of: ________
The Contract Expires: ________________Frequency of Test: __________________

WITNESS BY
Company Name: ____________________________________________________
Address: _________________________________________________________
Representative Name: ________________________________________________
Designation: ______________________________________________________
Phone: _________________ Fax: _______________
E-mail:_________________

As per NFPA standard No. 1 1 0, A functional test shall be conducted on every required Potable
Fire Extinguisher at 30-day intervals for a minimum of 30 seconds. Equipment shall be fully
operational for the duration of visual test. Written records of visual inspections and tests shall be kept
by the owner for inspection by the authority having jurisdiction.
MAINTENANCE INSPECTION CHECKLIST

Comments
Sl No Description YES NO N/A
1 Location in designated place

2 No obstruction to access or visibility

3 Operating instructions on nameplate legible and facing outward

4 Safety seals and tamper indicators not broken or missing

5 Fullness determined by weighing or “hefting”


Examination for obvious physical damage, corrosion, leakage, or
6
clogged nozzle
7 Pressure gauge reading or indicator in the operable range or position

8 Condition of tires, wheels, carriage, hose, and nozzle checked (for


wheeled units)
9 HMIS label in place

Disclaimer: The list is not all encompassing due to the extensive list of adopted codes. The
Inspector shall documents all fire and life safety violations and corrections when any are discovered
during inspection.

Inspector’s Signature Factory Owner’s Signature


Date: Date:

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