This document is a fire extinguisher inspection form to be completed twice weekly. It includes details of fire extinguishers such as their number, type, location, seal, lock, pin, pressure gauge, and discharge hose and nozzle. Inspectors check each fire extinguisher for cracks, breaks, seals and other defects, and note any required repairs or replacements in the remarks section. The inspection is reviewed and noted by safety and project management.

1. FIRE EXTINGUISHER INSPECTION
(To be completed twice a week)
Page 1 of 1 Form # HSEQ – FEI (Rev 4 - Mar 23)
Project Information:
Project Name: Date :
Project Location:
FIRE EXT.
NO.
CAPACITY/
TYPE
(e.g. 7 Kg CO2)
LOCATION
3rd Party
Inspection
valid
SHIELDED
FROM SUN
VISUAL
SEAL
LOCK
PIN
INSP.
TAG
PRESSURE
GUAGE
DISCHARGE
HOSE
DISCHARGE
NOZZLE
REMARKS/
ACTION
Visual Seal : Check for cracking/denting in the case Pressure Gauge : Check for cracking/denting in the case
Lock Pin Check : Check that the lead seal on the wire clip which holds : Check that the gauge is green, not red
the pin on the handle in place is not broken. Discharge Hose : Check for cracking/splitting at the discharge nozzle
Inspection Tag : Check that the sticker indicating last checking
details of the extinguisher is in place. Discharge Nozzle : Check to see if it is cracked/broken
Inspected By: Signature:
Reviewed By HSE Manager / In charge : Signature:
Noted by: Project Leader/CM Signature: