F.K3L.044.01 - Fire Extinguisher Inpection Record (Form Inspeksi APAR)

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FIRE EXTINGUISHER INSPECTION RECORD

NUMBER APAR 4

TYPE ABC

CAPACITY 4 KG

LOCATION MAIN TRANSFORMER


STATUS

DATE Pressure Defect CHECKED

Nozzle
EXPLANATION

Hose /
CHECKED Seal BY

Pin
Green
Red

Yes
No
11/3/2022 √ √ √ √ √ √ DIMAS

11/8/2022 √ √ √ √ √ √ DIMAS

11/18/2022 √ √ √ √ √ √ DIMAS

NOTE
PRESSURE : Check indicator sign and make sure the indicator at GREEN area
SEAL : Check and make sure the tamper seal is not broken
PIN : Ensure the pin put and stick to the right place
NOZZEL : Check the nozzel and make sure unobstructed
DEFECT : Check the tube fire extinguisher there's any corrotion and leakage
THE TUBE : Shake the tube fire extinguisher with slowly

FIRE EXTINGUISHER INSPECTION RECORD


NUMBER APAR 5
TYPE ABC
CAPACITY 4 KG
LOCATION SITE OFFICE
STATUS
DATE Pressure Defect CHECKED
Nozzle
Hose /

EXPLANATION
Seal
Green

Pin

CHECKED BY
Red

Yes
No

11/3/2022 √ √ √ √ √ √ DIMAS

11/8/2022 √ √ √ √ √ √ DIMAS

11/18/2022 √ √ √ √ √ √ DIMAS

NOTE
PRESSURE : Check indicator sign and make sure the indicator at GREEN area
SEAL : Check and make sure the tamper seal is not broken
PIN : Ensure the pin put and stick to the right place
NOZZEL : Check the nozzel and make sure unobstructed
DEFECT : Check the tube fire extinguisher there's any corrotion and leakage
THE TUBE : Shake the tube fire extinguisher with slowly

FIRE EXTINGUISHER INSPECTION RECORD


NUMBER
TYPE
CAPACITY
LOCATION
STATUS

DATE Pressure Defect CHECKED


EXPLANATION
CHECKED Seal Pin Hose BY
Green
Red

Yes
No

NOTE
PRESSURE : Check indicator sign and make sure the indicator at GREEN area
SEAL : Check and make sure the tamper seal is not broken
PIN : Ensure the pin put and stick to the right place
NOZZEL : Check the nozzel and make sure unobstructed
DEFECT : Check the tube fire extinguisher there's any corrotion and leakage
THE TUBE : Shake the tube fire extinguisher with slowly
STATUS

DATE Pressure Defect CHECKED

Nozzle
EXPLANATION

Hose /
Seal
CHECKED BY

Pin
Green
Red

Yes
No

NOTE
PRESSURE : Check indicator sign and make sure the indicator at GREEN area
SEAL : Check and make sure the tamper seal is not broken
PIN : Ensure the pin put and stick to the right place
NOZZEL : Check the nozzel and make sure unobstructed
DEFECT : Check the tube fire extinguisher there's any corrotion and leakage
THE TUBE : Shake the tube fire extinguisher with slowly
F.K3L.044.01

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