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FIRE HOSE CABINET MONTHLY INSPECTION CHECKLIST

FOR THE MONTH OF ___________________


FHC # LOCATION HOUSING HANGER HOSE COUPLING NOZZLE SPANNER SUPPLY VALVE REMARKS

REMARKS

Prepared by: Inspected by: Verified by:

Rodrigo M. Tibio Jr. Allan Christopher P. Alanis


Safety Lead Facility In-Charge Facility Head & Safety
(Signature over printed name) (Signature over printed name) (Signature over printed name)

FSC-JJG-SP-026/F-05

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