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Checklist Fire Extinguisher

This document provides a fire extinguisher inspection tag template. The tag lists instructions for inspecting fire extinguishers, including checking that they are full, not blocked, within their validity period, and without physical damage. Inspectors are to mark the results of the inspection with a check mark or x for each month. Space is provided to record the year, month, date, inspection status, and inspector name.

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Dondy Zobitana
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0% found this document useful (0 votes)
127 views

Checklist Fire Extinguisher

This document provides a fire extinguisher inspection tag template. The tag lists instructions for inspecting fire extinguishers, including checking that they are full, not blocked, within their validity period, and without physical damage. Inspectors are to mark the results of the inspection with a check mark or x for each month. Space is provided to record the year, month, date, inspection status, and inspector name.

Uploaded by

Dondy Zobitana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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FIRE EXTINGUISHER INSPECTION TAG FIRE EXTINGUISHER INSPECTION TAG

1.make sure extinguisher is full by weighing extinguisher or 1.make sure extinguisher is full by weighing extinguisher or
checking indicator checking indicator
2.extinguisher is visible and not blocked 2.extinguisher is visible and not blocked
3.fire extinguisher is within the validity period 3.fire extinguisher is within the validity period
4.inspect for physical damage 4.inspect for physical damage
5.According inspection results fill in √ or × 5.According inspection results fill in √ or ×

YEAR : 2022 YEAR : 2022

Month: Date Status Inspector Month: Date Status Inspector


JAN. JAN.
FEB. FEB.
MAR. MAR.
APRIL. APRIL.
MAY. MAY.
JUNE. JUNE.
JULY. JULY.
AUG. AUG.
SEPT. SEPT.
OCT. OCT.
NOV. NOV.
DEC. DEC.

No Form : FM-HSSE-002-007-01 No Form : FM-HSSE-002-007-01

No Rev : 00 No Rev : 00
Tanggal Terbit : 9 Maret 2020 Tanggal Terbit : 9 Maret 2020

FIRE EXTINGUISHER INSPECTION TAG FIRE EXTINGUISHER INSPECTION TAG

1.make sure extinguisher is full by weighing extinguisher or 1.make sure extinguisher is full by weighing extinguisher or
checking indicator checking indicator
2.extinguisher is visible and not blocked 2.extinguisher is visible and not blocked
3.fire extinguisher is within the validity period 3.fire extinguisher is within the validity period
4.inspect for physical damage 4.inspect for physical damage
5.According inspection results fill in √ or × 5.According inspection results fill in √ or ×

YEAR : 2022 YEAR : 2022

Month: Date Status Inspector Month: Date Status Inspector


JAN. JAN.
FEB. FEB.
MAR. MAR.
APRIL. APRIL.
MAY. MAY.
JUNE. JUNE.
JULY. JULY.
AUG. AUG.
SEPT. SEPT.
OCT. OCT.
NOV. NOV.
DEC. DEC.
No Form : FM-HSSE-002-007-01 No Form : FM-HSSE-002-007-01
No Rev : 00 No Rev : 00
Tanggal Terbit : 9 Maret 2020 Tanggal Terbit : 9 Maret 2020

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