NO.

01 FIRE EXTINGUISHER INSPECTION FORM Date:

Item Location Unique ID No. Date of Identifiable Accessible Label Discharg Service Safety Handle Pressure
No. Inspection (F.E. e Hose/ Sticker Pin Gauge
Type) Nozzle Validity

DOC. No.: CC-HSE-01 Rev.No:00 Rev. Date: Page: 1 of 1

NO. 01 FIRE EXTINGUISHER INSPECTION FORM Date:

Item Location Unique ID No. Date of Identifiable Accessible Label Discharge Service Safety Handle Pressure
No. Inspection (F.E. Hose/ Sticker Pin Gauge
Type) Nozzle Validity

DOC. No.: CC-HSE-01 Rev.No:00 Rev. Date: Page: 1 of 1

NO. 01 FIRE EXTINGUISHER INSPECTION FORM Date:

Item Location Unique ID No. Date of Identifiable Accessible Label Discharge Service Safety Handle Pressure
No. Inspection (F.E. Type) Hose/ Sticker Pin Gauge
Nozzle Validity

Item Location Unique ID No. Date of Identifiable Accessible Label Discharge Service Safety Handle Pressure
No. Inspection (F.E. Hose/ Sticker Pin
Type) Nozzle Validity Gauge

DOC. No.: CC-HSE-01 Rev.No:00 Rev. Date: Page: 1 of 1

NO. 01 FIRE EXTINGUISHER INSPECTION FORM Date:

Item Location Unique ID No. Date of Identifiable Accessibl Label Discharge Service Safety Handle Pressure Gauge
No. Inspection e (F.E. Hose/ Sticker Pin
Type) Nozzle Validity

DOC. No.: CC-HSE-01 Rev.No:00 Rev. Date: Page: 1 of 1

NO. 01 FIRE EXTINGUISHER INSPECTION FORM Date:

DOC. No.: CC-HSE-01 Rev.No:00 Rev. Date: Page: 1 of 1