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Title Page

Client / Site

Reference Number

Conducted on 

Inspected by

Location 

Monthly Inspection

Fire Extinguisher Inspection

Click "Add Fire Extinguisher" to list equipment available in the area. You may add
multiple items.

Fire Extinguisher
Fire Extinguisher Information

Location of Extinguisher

Serial No. of Extinguisher

Manufacture Date 

Expiry Date 

Type of Fire Extinguisher

Water Foam Dry Powder Carbon Dioxide

Wet Chemical

Size (KG)

Rating

ABC BC A D K

Fire Extinguisher Inspection

1. Has a valid maintenance tag

Compliant Non-Compliant
2. Mounted in an easily accessible place, no debris or material stacked in front of it.

Compliant Non-Compliant

3. Safety pin is in place and intact. Nothing else should be used in place of the pin.

Compliant Non-Compliant

REFERENCE: Safety pin is in place and intact


[This is an example of how you can use iAuditor to include best practice reference
images in your templates to assist with inspections]

4. Label is clear and extinguisher type and instructions can be read easily.

Compliant Non-Compliant

5. Handle is intact and not bent or broken.

Compliant Non-Compliant

6. Pressure gauge is in the green and is not damaged or showing “recharge”

Compliant Non-Compliant

7. Discharge hoses/nozzle is in good shape and not clogged, cracked, or broken

Compliant Non-Compliant

8. Extinguisher was turned upside down at least three times (shaken) to make sure it is
full.

Compliant Non-Compliant

9. Location of extinguisher is easily identifiable by signs

Compliant Non-Compliant
10. Dust and wipe down the extinguisher

Compliant Non-Compliant

11. Annual maintenance tag is signed and dated

Compliant Non-Compliant

Take a photo of the annual maintenance tag 

Overall condition of fire extinguisher

Pass Fail

Completion

Write down observations

State recommendations about the inspections here

Name and Signature of Inspector 

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's
solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should
independently determine whether the template is suitable for your circumstances.

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