FIRE EXTINGUISHER MONTHLY INSPECTION

Project/Location Name Job No.

Location Month Date

FIRE EXT. NO. CAPACITY/ SHIELDED VISUAL LOCK INSP. PRESSURE DISCHARGE DISCHARGE REMARKS/
LOCATION VALIDITY
TYPE FROM SUN SEAL PIN TAG GUAGE HOSE NOZZLE ACTION

Visual Seal : Check for cracking/denting in the case Pressure Guage : Check for cracking/denting in the case
Lock Pin Check : Check that the lead seal on the wire clip which holds : Check that the needle is on the green marking, not red

the pin on the handle in place is not broken. Discharge Hose : Check for cracking/splitting at discharge nozzle
Inspection Tag : Check details indicating last checking of the extinguisher is i Discharge Nozzle : Check to see if it is cracked/broken
Inspected By : Name: Designation: Signature: