CHINA STATE CONSTRUCTION ENGINEERING (M) Form No.

: CSCEC-HSE-F-
27
SDN. BHD.
(COMPANY NO: 1060634-X)

HEALTH, SAFETY & ENVIRONMENTAL

FIRE EXTINGUISHER INSPECTION FORM

PROJECT TEMPLER RESIDENCE RAWANG DATE OF 28/02/2023

NAME INSPECTION
Fire Condition
Extinguisher Type of Serial Size /
Location
Date of Date of
Remarks
Extinguisher Number weight Refill Expiry A NR D NM
Number


FF052017Y002533
1 ABC 9KG KONGSI 15/12/2021 28/12/2022 CSCEM_FE001


EE052016Y559372
2 ABC 9KG KONGSI 15/12/2021 28/12/2022 CSCEM_FE002
FF052017Y002708
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE003
3
KONGSI

EE012017Y512705
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE004
4
KONGSI

FF052017Y002665
5 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE005
FF052017Y002481
6 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE006
FF052017Y086836
7 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE007
SR042016Y089526
8 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE008
FF052017Y002517
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE009
9
KONGSI

FF022018Y000520
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE010
10
KONGSI

FF052017Y002636
11 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE011
FF052017Y002002
12 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE012
Key: A = Acceptable at time of inspection NR = Needs re-filling / re-charging General Remarks:

D = Damaged – Must be removed from site NM = Needs maintenance

Checked By: Position : Signature:

 CHINA STATE CONSTRUCTION ENGINEERING (M) Form No. : CSCEC-HSE-F-
27
SDN. BHD.
(COMPANY NO: 1060634-X)

HEALTH, SAFETY & ENVIRONMENTAL

FIRE EXTINGUISHER INSPECTION FORM

PROJECT TEMPLER RESIDENCE RAWANG DATE OF 28/02/2023

NAME INSPECTION
Fire Condition
Extinguisher Type of Serial Size /
Location
Date of Date of
Remarks
Extinguisher Number weight Refill Expiry A NR D NM
Number
EE072016Y134753
13 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE013
FF052017Y002555
14 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE014
EE052017Y089384
15 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE015
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE016
KONGSI

FF052017Y002512
16
SR042016Y089661
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE017
17
KONGSI

FF052017Y002584
18 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE018
EE052017Y086376
19 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE019
EE012017Y511306
20 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE020
EE072016Y136026
21 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE021
FF052017Y002654
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE022
22
KONGSI

FF052017Y002486
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE023
23
KONGSI

FF052017Y002492
24 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE024
Key: A = Acceptable at time of inspection NR = Needs re-filling / re-charging General Remarks:

D = Damaged – Must be removed from site NM = Needs maintenance

Checked By: Position : Signature:

 CHINA STATE CONSTRUCTION ENGINEERING (M) Form No. : CSCEC-HSE-F-
27
SDN. BHD.
(COMPANY NO: 1060634-X)

HEALTH, SAFETY & ENVIRONMENTAL

FIRE EXTINGUISHER INSPECTION FORM

PROJECT TEMPLER RESIDENCE RAWANG DATE OF 28/02/2023

NAME INSPECTION
Fire Condition
Extinguisher Type of Serial Size /
Location
Date of Date of
Remarks
Extinguisher Number weight Refill Expiry A NR D NM
Number
EE052017Y089135
25 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE025
FF052017Y002516
26 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE026
EE062016Y068066
27 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE027
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE028
KONGSI

FF112017Y184462
28
FF052017Y002047
ABC 9KG 15/12/2021 28/12/2022 CSCEM_FE029
29
KONGSI

FF052017Y002587
30 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE030
EE072016Y134628
31 ABC 9KG KONGSI 15/12/2021 28/12/2022  CSCEM_FE031

Key: A = Acceptable at time of inspection NR = Needs re-filling / re-charging General Remarks:

D = Damaged – Must be removed from site NM = Needs maintenance

Checked By: Position : Signature: