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PTTEP
Phu luc 2. Danh sach ki~m tra binh chU'a chay - Hang thang
Appendix 2. Fire Extinguisher Inspection Check List - Monthly

TEN NHA THAU HO~C NHA THAU PHl)ICONTRACTOR /SUBCONTRACTOR NAME: ALPHA ECC

V! tri!Location: Workshop 5, Wrokshop 4. PVMS Site

Ngay kiem tra/oate:
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PT,Oun:in1,"'\)t;ll!'.:i
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V1f.lSOVPl:TRO

MI M / ,2011.,,,
Thanh S6 nh~n d.;ing binh chCPa chay/Fire Extinguisher Identification No:
ph~n/ K i~m tra tinh trang, cac khuy~t d~m/ Condition/Fault FE5- FE5- FE5- FE5- FE5- FE5- FE4- FE4- FE4- FE4- FE4- FE5- FE5- FE5- FE5- FE5- FE-0 1 FE-02 FE-03
Compone to be checked 041 043A 043B 043C 0430 043E 010 01 1 0 12 013 01 4 030 03 1 032 033 041
nt
Ap suat phan mau xanh la cay / Pressure reading within
E>fmg h 6
green section ✓ l/ !'1/J
ti [/ v ✓ ✓ V v V V v' /VJr [,,- ✓
V V v
do ap su.it
I
Pressure
Dong ho do ap ro rang va de dc;,c / Gauge clean and
legible I/ t/ NII
V V V t/ V v i/ V V V
N,4 V V V ✓ (/

Gauge
Dong ho do khong bi hl.l' hong / Gauge free from
v V fl//>, v V v (/ ✓ V V v !YIJ- \_,, v V V
damage V {/ i/
Khong bi hll' hong / Free from damage I/ \) V I/ V v V V V V ✓ V 1./ V ✓ v V
(./ V
Vo bi n h I Nhan sc;1ch se de dc;,c / Label clean and legible V V V v ✓ I/ I/ V [.,, V v {/ V t/ 1/ V ✓ ,./ (./
Cylinder Nh$n dc;1ng chu s& hC,,u ro rang / Owner clearly
t/ l/ V ti v ✓ r/ V ✓ V (/
V V ✓
I/ v I/ v v
Identified

Ch.it li~u
T rc;,ng JU'(;mg ben trong trong thong s6 ky thu$t I Weight
within specifications v V v ✓ v V II v ✓ v v' V V ti V V v :/ t../
ben trong I Dao ngl.l'Q'C binh CC va x6c Jen lam tO'i b6t ben trong
Contents (Chi ap d1,mg v&i binh b(>t kho) Cylinder inverted and
v V rift ✓ \I V ✓ V ✓ V V V V NA V V v (../ ,/
'bumped' to loosen contents (dry chemical only)
Tinh trc;1ng vi tri dai 6c v6i, v6i khong tac nghen./ Hose ✓ V V V (/ V V / V v v v V
free of obstructions, end cap in position v V
\/ V t/ ✓

Voi / Gae diem ket noi dl.l'Q'C kiem tra chi;it che / Connections
Hoses checked for tightness
V u V ✓ V ✓ ✓ v V (_,, V V c./ ti V v v v V
Voi kh6ng bi nll't va hU' hong do anh n§ng m~t tr6'i / t/
Hose free of cracks and ultraviolet deterioration
V v' \/ V v V ti V v V V V ✓ C/
V V V V

chot an Kep chi c6n nguyen ven, chot an toan dl.l'Q'C bao ve tot I
toan I Safety pin secured from accidental displacement V '\) v V V V V V v V ✓ V
c/
ti v ti V {,/
t/
Safety pin
Tern kiem T ern dang 0Ll'Q'C dinh kem va danh dau b&i ngll'CYi c6
tra I th.fim quy€m trong v6ng 3 thang gan nhat /Attached and
V V I) \I V V ✓ v V V V V v J [/ v ✓ V t/
Inspection marked by competent person within last three months.
tag
..
Chu y: Note:
,
Danh dau/Tick ✓: Dc;1UPass -
Danh dau/Tick - dc;1UFail
x : Khong