Fire Extinguisher Follow-Up Form
Document follow-up actions after fire extinguisher inspection, service, or usage.
Site/Location Name
*
Area or Department
*
Fire Extinguisher Identification Number
*
Type of Follow-Up
*
Inspection
Service Visit
Usage Event
Date of Follow-Up
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Status/Result
*
Please Select
Satisfactory
Needs Attention
Out of Service
Corrective Actions Taken
Replacement Needed
*
Yes
No
Responsible Person
*
First Name
Last Name
Next Follow-Up Date (if needed)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: