Fire Extinguisher Inspection Form

Fire Extinguisher Inspection Form
Inspector's Information
Inspected By*
First NameLast Name
Inspection Date*
MonthDayYear
Date
Report No:*
Company Name*
Fire Extinguisher Information
Fill out the fire extinguisher details*
Fire Extinguisher
ID
Location Type of Fire Extinguisher Capacity (Kgs)
Sample 1
Sample 2
Sample 3
Sample 4
Sample 5
Elements of Fire Extinguisher Conditions

Fill out the necessary fields*

	Tube Quality	Hose Quality	Pressure Quality	Bracket Quality	Seal Quality	Comments/Remarks
Sample 1
Sample 2
Sample 3
Sample 4
Sample 5

Inspector's Signature*
Clear
Should be Empty: