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MONTHLY FIRE EXTINGUISHER INSPECTION REPORT

DATE: NFPA 10: INSPECTOR:


6.1.3.6 Fire extinguishers installed in vehicles or under other conditions where they are subject to dislodgement shall be installed in approved
straptype brackets specifically designed for this application.
7.2.1.1* Fire extinguishers shall be manually inspected when initially placed in service.
EM 385-1-1:
18.G.23 Each bulldozer, scraper, dragline, crane, motor grader, front-end loader, mechanical shovel, backhoe, and other similar equipment shall be
PROJECT: equipped with at least one dry chemical or CO2 fire extinguisher with a minimum rating of 10-B:C. SIGNATURE:
29CFR 1926:
1926.150(c)(1)(vi) A fire extinguisher, rated not less than 10B, shall be provided within 50 feet of wherever more than 5 gallons of flammable or
combustible liquids or 5 pounds of flammable gas are being used on the jobsite. This requirement does not apply to the integral fuel tanks of motor
vehicles.
1926.150(c)(1)(viii) Portable fire extinguishers shall be inspected periodically and maintained in accordance with Maintenance and Use of Portable
Fire Extinguishers, NFPA No. 10A-1970.

EQUIPMENT INFO EXTINGUISHER INFO


Remarks
Vehicle Type MODEL# SERIAL# Bumper# Inspection. Date Expiration Date MODEL# SERIAL#

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