FIRE EXTINGUISHER

INSPECTION LOG
(MONTHLY)
DLPS-HSE-026/00

Project Name: _____________________________________________________________________________

Project Site Location: __________________ For the Month of: _______________ Color Code: ______

Check if Satisfactory
Extinguisher Type Capacity
(Ok/Not Ok) Exact Location of
SN Comments
Dry Chem / Fire Extingusher
ID No. (lbs./kg) Pressure Seal Pin
CO2
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
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20.
21.
22.
23.
24.
25.

Inspected By:

Name: __________________________________ Designation: _______________________________

Signature: _______________________________ Date: _____________________________________