You are on page 1of 1

FIRE EXTINGUISHER SERVICE

PERIODE : DPP-F-MR-059 (Rev.000)

CHECK
No. Fire Fire Ext.
No Exact Location Inspected Date Hose / Silinder / Tanda Dirty/ Punch Leak / Remark
Ext Type PIN Segel Tekanan
Slang Tabung Label Kotor Tag Kebocoran

(* 1) : Jika tidak, Ganti Jenis Pemadam : Inspection by: Approve by:


V : Bagus DC : Dry Chemical Powder
X : Rusak FM : Foam
CO : Carbon Dioxide
WR : Water

You might also like