Fire Blanket Maintenance Checklist Form
Complete this checklist to document the routine inspection and maintenance of fire blankets. All entries are for internal safety and compliance records. Please review each item carefully.
Fire Blanket Location/ID
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Is the fire blanket present and easily accessible?
*
Yes
No
Is the fire blanket casing or container undamaged?
*
Yes
No
Is the fire blanket itself free from visible damage or contamination?
*
Yes
No
Are the operating instructions clearly visible and legible?
*
Yes
No
Next Inspection Due Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments or Actions Required
Inspector Signature
*
Submit Checklist
Submit Checklist
Should be Empty: