6 Month Fire Extinguisher Checks Please enable JavaScript in your browser to complete this form.ClientAddressPhoto of Address1.1 Fire Extinguisher Tag1.2 Photo of extinguisher and sign1.3 Extinguisher typeN/APOWDER ABEPOWERDER BECO2WATERFOAMWET CHEMICALVAPOURISING LIQUIDChoice 91.4 Fire Extinguisher Location1.5 Is the extinguisher readily accessible?N/AYESNO1.6 Is the extinguisher anti-tamper device intact?N/AYESNO1.7 Is the extinguisher operating instructions visible?N/AYESNO1.8 Is the extinguisher service tag firmly attachedN/AYESNO1.9 Does the extinguisher have any external damage?N/AYESNO1.10 Does the extinguisher have any external corrosion?N/AYESNO1.11 Is the extinguisher hose in good condition?N/AYESNO1.12 Is the extinguisher gauge legible and reading within the GREEN zone?N/AYESNO1.13 Is the extinguisher weight showing a full cylinder?N/AYESNO1.14 Is the signage in the correct location?N/AYESNO1.15 Is the support bracket securely attached?N/AYESNO1.16 Is the nozzle the correct type for the extinguisher?N/AYESNO1.17 Is the nozzle free of debris?N/AYESNO1.18 Invert the powder extinguisher and confirm the contents move freelyN/AMOVED FREELYDID NOT MOVE FREELY1.19 Is the actuator free of corrosion?N/AYESNO1.20 Are the pneumatic tyres, where fitted, are pressurized to the recommended pressure?N/ANOT FITTEDYESNO1.21 Where fitted, lubricate wheelsN/ANOT FITTEDLUBRICATEDREPAIR REQUIRED1.22 Does the extinguisher roll on the wheels for a distance of 5m?N/AYESNO1.23 List corrective actionsAdd another extinguisher?N/AYES2.1 Fire Extinguisher Tag2.2 Photo of extinguisher and sign2.3 Extinguisher typeN/APOWDER ABEPOWERDER BECO2WATERFOAMWET CHEMICALVAPOURISING LIQUIDChoice 92.4 Fire Extinguisher Location2.5 Is the extinguisher readily accessible?N/AYESNO2.6 Is the extinguisher anti-tamper device intact?N/AYESNO2.7 Does the extinguisher have any external damage?N/AYESNO2.8 Is the extinguisher operating instructions visible?N/AYESNO2.9 Is the extinguisher service tag firmly attached?N/AYESNO2.10 Does the extinguisher have any external corrosion?N/AYESNO2.11 Is the extinguisher hose in good condition?N/AYESNO2.12 Is the extinguisher gauge legible and reading within the GREEN zone?N/AYESNO2.13 Is the extinguisher weight showing a full cylinder?N/AYESNO2.14 Is the signage in the correct location?N/AYESNO2.15 Is the support bracket securely attached?N/AYESNO2.16 Is the nozzle the correct type for the extinguisher?N/AYESNO2.17 Is the nozzle free of debris?N/AYESNO2.18 Invert the powder extinguisher and confirm the contents move freelyN/AMOVED FREELYDID NOT MOVE FREELY2.19 Is the actuator free of corrosion?N/AYESNO2.20 Are the pneumatic tyres, where fitted, are pressurized to the recommended pressure?N/ANOT FITTEDYESNO2.21 Where fitted, lubricate wheelsN/ANOT FITTEDLUBRICATEDREPAIR REQUIRED2.22 Does the extinguisher roll on the wheels for a distance of 5m?N/AYESNO2.23 List corrective actionsAdd another extinguisher?N/AYES3.1 Fire Extinguisher Tag3.2 Photo of extinguisher and sign3.3 Extinguisher typeN/APOWDER ABEPOWERDER BECO2WATERFOAMWET CHEMICALVAPOURISING LIQUIDChoice 93.4 Fire Extinguisher Location3.5 Is the extinguisher readily accessible?N/AYESNO3.6 Is the extinguisher anti-tamper device intact?N/AYESNO3.7 Does the extinguisher have any external damage?N/AYESNO3.8 Is the extinguisher operating instructions visible?N/AYESNO3.9 Is the extinguisher service tag firmly attached?N/AYESNO3.10 Does the extinguisher have any external corrosion?N/AYESNO3.11 Is the extinguisher hose in good condition?N/AYESNO3.12 Is the extinguisher gauge legible and reading within the GREEN zone?N/AYESNO3.13 Is the extinguisher weight showing a full cylinder?N/AYESNO3.14 Is the signage in the correct location?N/AYESNO3.15 Is the support bracket securely attached?N/AYESNO3.16 Is the nozzle the correct type for the extinguisher?N/AYESNO3.17 Is the nozzle free of debris?N/AYESNO3.18 Invert the powder extinguisher and confirm the contents move freelyN/AMOVED FREELYDID NOT MOVE FREELY3.19 Is the actuator free of corrosion?N/AYESNO3.20 Are the pneumatic tyres, where fitted, are pressurized to the recommended pressure?N/ANOT FITTEDYESNO3.21 Where fitted, lubricate wheelsN/ANOT FITTEDLUBRICATEDREPAIR REQUIRED3.22 Does the extinguisher roll on the wheels for a distance of 5m?N/AYESNO3.23 List corrective actionsInspection dateTechnician nameTechnician signatureClear SignatureSubmit