Fire Extinguisher Form Fire Extinguishers Extinguisher ID and Location Number * Enter the Location of this particular device. Inspected by: * Device Label Picture * Please take a picture of the device up close to include the label and the inspection tag. Choose File Maximum file size: 8.39MB Pressure Guage Locate the pressure gauge at the top of the cylinder. Is the pressure gauge pointed within the optimal green range? * Yes No For a quick fix: Sometimes, the pressure gauge is in the red because of the chemical having settled down in the cylinder. Try fixing this by removing the fire extinguisher from its bracket/container, carefully turn it upside down twice, and shake it well. Check if the gauge indicator goes back to green. Physical Is the cylinder tank and all external metal parts free of corrosion, dents or other signs of damage? * Yes No Is the sticker/label on the cylinder readable? * Yes No Is the hose free of cracks or other signs of damage? * Yes No Have a look at the inside of the nozzle. Does it show any leak? * Yes No Is the seal and pin present and intact? (The seal’s material can be plastic or metal) * Yes No The seal is the tag around the handle holding the pin in place. Accessibility How do you get to the device in the event of an emergency? Is the device easily visible? * Yes No Is the device’s immediate surrounding free from obstruction? * Yes No Is the device easily removable from its bracket/container? * Yes No Picture * Drop a file here or click to upload Choose File Maximum file size: 8.39MB Please take a picture of the fire extinguisher showing it and the surrounding area. Signature * signature keyboard Clear Submit If you are human, leave this field blank.
