Fire Extinguisher Monthly Inspection

Fire Extinguisher #*
Is Fire Extinguisher IN USE (either in truck or on job site)*
- Yes, In Use - please provide LOCATION in box below
- No, stored in ICS Shop
Location*
Date*
MM slash DD slash YYYY
Inspected By*
Complete a visual inspection monthly, including the following:
Are hangers fastened solidly?
- Yes
- No
- Not applicable as extinguisher is NOT IN USE
Can the extinguisher be easily reached?
- Yes
- No
- Not applicable as extinguisher is NOT IN USE
Fire Extinguisher location signs are clear
- Yes
- No
- Not applicable as extinguisher is NOT IN USE
Class markings are clear
- Yes
- No
Operating instructions are clear
- Yes
- No
Discharge opening is clear
- Yes
- No
Is the extinguisher fully charged?
- Yes
- No
Ensure the extinguisher has not been tampered with
- Completed visual check
Ensure the extinguisher is not damaged
- Completed visual check
Ring pin in place
- Yes
- No
Seal intact
- Yes
- No
Tag has been dated with inspection date and initialed
- Yes
- No

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Complete a visual inspection monthly, including the following: