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    EHS-BSM-SF.06.1 Monthly Fire Extinguisher Inspection

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    allanaaproject1025

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    EHS-BSM-SF.06.1 Monthly Fire Extinguisher Inspection

    Uploaded by

    allanaaproject1025
    4 views1 page

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    4 views1 page

    EHS-BSM-SF.06.1 Monthly Fire Extinguisher Inspection

    Uploaded by

    allanaaproject1025

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ENVIRONMENT HEALTH & SAFETY

    FORMS
    Document Type Form Document No: EHS-BSM-SF.06.1
    MONTHLY FIRE EXTINGUISHER INSPECTION

    Project Name: Date:

    Company: Time:

    Fire Extinguisher location: Class:

    Body No: Type:

    DESCRIPTION YES NO REMARKS


    1) Access to the extinguisher is not blocked and that the cabinet door, if applicable,
    opens easily.
    2) Extinguisher is placed on suitable rack
    3) Tag is in place and updated monthly
    4) The cylinder pressure is within the recommended level on extinguishers
    equipped with a gauge. The needle is in the green zone.
    5) Locking pin is intact
    6) Tamper seal is not broken
    7) Hose and nozzle are in good condition
    8) No signs of dents, leaks, rust, chemical deposits or other signs of abuse/wear
    9) Portable fire extinguishers pressure was tested (hydrostatic testing).
    Write the date on the remarks.
    10) Refilled?
    If yes, write the date on the remarks.
    Conditions: 1. Processing of this form must not continue if any of the above requirements is not complied.
    2. This form will be invalid for any changes of conditions and work environment
    INSPECTED BY: NAME SIGNATURE DATE
    SUBCONTRACTOR SAFETY OFFICER
    NOTED BY: NAME SIGNATURE DATE
    SIEMENS EHS PERSONNEL

    REV CODE: 00 EFFECTIVE DATE: NEXT REVIEW DATE: PAGE: 1 of 1


    Only Authorized Printed Version is deemed to be Controlled

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