FFE Records

compan Doc. No.
y logo
company name Rev. No. 00
Issue/Rev. Date 12.11.2010
Month: FIRST AID BOX CHECKING

Location
Item No. Items as per Factories Act, 1948 Expiry Date Remark
1 Small sterilized dressings

2 Medium- size sterilized dressings
3 Large- size sterilized dressings
4 Large-size sterilized burn dressings
5 (15 gms) Packets sterilized cotton wool
A bottle containing a two per cent alcoholic
6
solution of iodine
7 Salvolatile Solution Bottle (Savlon)
8 Roll of adhesive plaster
9 A snake-bite lancet
10 Packet of potassium permanganate crystals
11 Scissor
12 First Aid Booklet
13 Aspirin Tablets
14 Ointment for burns (Burnol)
A bottle of a suitable surgical anti-septic
15
solution (Dettol)
Monthly Checking Done
Name :
Sign :
Doc. No.
Rev. No. 00
Fire Extinguihser - Master list

Extingui-
sher Location Type Capacilty Remarks
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
2 of 27
Doc. No.
Rev. No. 00

Extingui-
No.
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
3 of 27
Doc. No.
Rev. No. 00

Extingui-
No.
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
4 of 27
Doc. No.
Rev. No. 00

Extingui-
No.
118
119
120
121
122
123
5 of 27
Doc. No.
Rev. No. 00
Month: CO2 EXTINGUISHER CHECKING

Quarterly Checks Yearly Checks
Extingui- Condition of Weight of CO2 Extinguisher
sher Location Capacilty Discharge Remarks
No. Safety Pin & Discharge Condition of Gross / Full Actual As on Diffrence in
Horn,
Seal Tube Valve Weight Weight Weight
Handle
Ok Ok Ok Ok NA NA NA
6 of 27
Doc. No.
Rev. No. 00

Horn,
Handle
Quarterly Checking Done Yearly Checking Done
Name : Name :
7 of 27
Doc. No.
Rev. No. 00

Horn,
Handle
Sign : Sign :
8 of 27
Doc. No.
Rev. No. 00
Month: DCP EXTINGUISHER CHECKING

Quarterly Checks Yearly Check
Extingui- Condition of CO2 Cartridge
sher Location Capacity Safety DCP Remarks
No. Squeeze Discharge Inner Powder Gross / Full Actual As Diffrence in
Pin &
Nozzle Tube Container Weight on Weight Weight
Seal
Ok Ok Ok Ok NA NA NA NA
9 of 27
Doc. No.
Rev. No. 00

Pin &
Seal
10 of 27
Doc. No.
Rev. No. 00

Pin &
Seal
11 of 27
Doc. No.
Rev. No. 00

Pin &
Seal
12 of 27
Doc. No.
Rev. No. 00

Pin &
Seal
Name : Name :
Sign : Sign :
13 of 27
Doc. No.
Rev. No. 00
Month: MECHANICAL FOAM EXTINGUISHER CHECKING

Extingui- Condition of Weight of CO2 Cartridge
sher Location Capacity Remarks
No. Safety Pin Discharge Foam Movement Gross / Full Actual As Diffrence in
& Seal Tube Solution of wheels Weight on Weight Weight
Name : Name :
Sign : Sign
Doc. No.
Rev. No. 00
Month: ABC EXTINGUIHSER CHECKING

Quarterly Checks
Extingui- Condition of
Capacity
sher Location Remarks
(Kg)
No. Safety Pin & Discharge Nitrogen
Nozzle
Seal Tube Pressure
Quarterly Checking Done
Name :
Sign :
logo Doc. No.
company name Rev. No.

Issue/Rev. Date
Month: SAFETY EYE WASHER CHECKING

Monthly checking
Condition of
Sr. No. Location Remarks
Hand Foot Any leakage Drain Pipe
Body wash Eye wash
operated operated
Shower Showers
valve Valve
1 Near Bay 05 Entrance Ok Ok No Ok
2 Near DM Plant Ok Ok No Ok
Name :
Sign :
00
12.11.2010
Remarks
logo
company name
Month: SELF CONTAINED BREATHING AP
Monthly checking
Condition of
Sr. No. Location
1 Near Bay 05 Entrance Ok Ok

2 Near DM Plant Ok Ok
Name :
Sign :
Doc. No.
Rev. No. 00
TAINED BREATHING APPARATUS CHECKING

checking
Remarks
No Ok
No Ok
logo
company name
Month: AIR LINE CABINET CH
Monthly checking
Condition of
Sr. No. Location
1
2
Name :
Sign :
Doc. No.
Rev. No. 00
AIR LINE CABINET CHECKING

checking
Remarks

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compan Doc. No.

Month: FIRST AID BOX CHECKING

1 Small sterilized dressings

Monthly Checking Done

Issue/Rev. Date 12.11.2010

Fire Extinguihser - Master list

Issue/Rev. Date 12.11.2010

Fire Extinguihser - Master list

Issue/Rev. Date 12.11.2010

Fire Extinguihser - Master list

Issue/Rev. Date 12.11.2010

Fire Extinguihser - Master list

Month: CO2 EXTINGUISHER CHECKING

Month: CO2 EXTINGUISHER CHECKING

Quarterly Checking Done Yearly Checking Done

Month: CO2 EXTINGUISHER CHECKING

Issue/Rev. Date 12.11.2010

Month: DCP EXTINGUISHER CHECKING

Issue/Rev. Date 12.11.2010

Month: DCP EXTINGUISHER CHECKING

Issue/Rev. Date 12.11.2010

Month: DCP EXTINGUISHER CHECKING

Issue/Rev. Date 12.11.2010

Month: DCP EXTINGUISHER CHECKING

Quarterly Checking Done Yearly Checking Done

Issue/Rev. Date 12.11.2010

Month: DCP EXTINGUISHER CHECKING

Issue/Rev. Date 12.11.2010

Month: MECHANICAL FOAM EXTINGUISHER CHECKING

Quarterly Checking Done Yearly Checking Done

Month: ABC EXTINGUIHSER CHECKING

Quarterly Checking Done

company name Rev. No.

Month: SAFETY EYE WASHER CHECKING

Monthly Checking Done

1 Near Bay 05 Entrance Ok Ok

Monthly Checking Done

Issue/Rev. Date 12.11.2010

TAINED BREATHING APPARATUS CHECKING

Monthly Checking Done

Issue/Rev. Date 12.11.2010

AIR LINE CABINET CHECKING

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