Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

FIRE EXTINGUISHER FIRE EXTINGUISHER

MONTHLY CHECKLIST MONTHLY CHECKLIST

No : ………………………… Year : ……………………………….. No : ………………………… Year : ………………………………..


Brand : ………………………… Type : ……………………………….. Brand : ………………………… Type : ………………………………..
Capacity : ………………………… Capacity : …………………………
Location : ………………………………………………………………………………… Location : …………………………………………………………………………………
MONTHS MONTHS
CONDITION CONDITION
JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOV DES
HANDLE HANDLE
HOSE HOSE
NOZZLE NOZZLE
TUBE TUBE
PRESSURE PRESSURE
SEAL SEAL
EXPIRED EXPIRED
DATE CHECKED DATE CHECKED
CHECKED BY CHECKED BY
SIGN SIGN
NOTE : NOTE :
1. PRESSURE INDICATOR MUST BE GREEN 1. PRESSURE INDICATOR MUST BE GREEN
2. SHAKE & REVERSE TUBE FOR POWDER TUBE 2. SHAKE & REVERSE TUBE FOR POWDER TUBE
3. √ = GOOD X = BAD/LOW PRESSURE 3. √ = GOOD X = BAD/LOW PRESSURE

You might also like