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Document Number

Logiconic Pty Ltd


SM-HSMS-U2-APP-P01
Revision Number / Date
MANAGEMENT SYSTEM
01/26 Sep 2023
Page Number
Fire Extinguisher Checklist
Page 1 of 1

Name of inspector: Site:


Portable fire extinguisher No.: Location of fire extinguisher:
Instruction: Do a visual inspection of the portable fire extinguisher to verify whether the equipment is in working order. Mark “O” for okay, or “R” for replace if required.
Report any shortcomings to the responsible manager for ordering. Remove any item that is not in working order.
Item Mon Tue Wed Thur Frid Sat Mon Tue Wed Thur Fri Sat

Is fire extinguisher numbered:

Is the fire extinguisher No. displayed above the


mounting to ensure correct replacement:
Is service label visible and up to date:
Is the label / type of extinguisher visible and legible:

Is non-tamper seal in place:

Is the lead seal at the pin:

Nozzle in good operating condition:

Clear space around equipment (demarcated)

Date of last hydrostatic pressure test stamped into


casing:
Inspection Date

Inspectors Signature

Comments:

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