Accord Check List of Fire Extinguisher | Fire Extinguisher Maintenance Inspection Checklist | Garments-info

FIRE EXTINGUISHER MAINTENANCE INSPECTION CHECKLIST

ACCORD CHECK LIST OF FIRE EXTINGUISHER

To be completed by the Inspector at the time of Inspection

Attach additional sheets, data or calculation as necessary to provide a complete record 

FACTORY INFORMATION

Factory Name: ________________________________________________

Address: ____________________________________________________

Representative Name: __________________________________________

Designation:_________________________________________________

Phone:____________________________Fax:______________________

E-mail:_________________________________

INSTALLATION, SERVICE AND TESTING CONTRACTOR INFORMATION (IF APPLICABLE)

Contractor Name:______________________________________________

Address: ____________________________________________________

Inspector or Tester Name: ________________________________________

Qualification of Inspector or Tester: _________________________________

Phone:___________________________Fax:_______________________

E-mail:_________________________________

A Contract for Inspection & testing in accordance with NFPA is in effect as of: __________________The Contract Expires: ________________Frequency of Test: __________________.

WITNESS BY

Company Name: ______________________________________________

Address: ____________________________________________________

Representative Name: __________________________________________

Designation: _________________________________________________

Phone:___________________________Fax: _______________________

E-mail:___________________________________

As per NFPA standard No. 1 1 0, A functional test shall be conducted on every required Potable Fire Extinguisher at 30-day intervals for a minimum of 30 seconds. Equipment shall be fully operational for the duration of visual test. Written records of visual inspections and tests shall be kept by the owner for inspection by the authority having jurisdiction.

MAINTENANCE INSPECTION CHECKLIST

Floor No	Ground Floor, West Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

Floor No	Ground Floor, East Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

MAINTENANCE INSPECTION CHECKLIST

Floor No	1st Floor, West Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

Floor No	1st Floor, East Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

MAINTENANCE INSPECTION CHECKLIST

Floor No	2nd  Floor, West Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

Floor No	2nd  Floor, East Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

MAINTENANCE INSPECTION CHECKLIST

Floor No	3rd  Floor, West Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

Floor No	3rd  Floor, East Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

MAINTENANCE INSPECTION CHECKLIST

Floor No	4th  Floor, West Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

Floor No	4th  Floor, East Wing	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

MAINTENANCE INSPECTION CHECKLIST

Floor No	Utility Building	Comments
S/L	Description	YES	NO	N/A
1	Location in designated place
2	No obstruction to access or visibility
3	Operating instructions on nameplate legible and facing outward
4	Safety seals and tamper indicators not broken or missing
5	Fullness determined by weighing or “hefting”
6	Examination for obvious physical damage, corrosion, leakage, or clogged nozzle
7	Pressure gauge reading or indicator in the operable range or position
8	Condition of tires, wheels, carriage, hose, and nozzle checked (for wheeled units)
9	HMIS label in place

Disclaimer: The list is not all encompassing due to the extensive list of adopted codes. The Inspector shall documents all fire and life safety violations and corrections when any are discovered during inspection.

                                                                                                            On behalf of DGM,

                                                                                                      HR, Admin & Compliance

Inspector’s Signature                                                                 Factory Owner’s Signature

Date:                                                                                            Date: