CANWIDE STEEL
FIRE EXTINGUISHER INSPECTION
OHS PROGRAM – EQUIPMENT SAFETY
FORM #FEI-01 | REV. 01
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GENERAL INFORMATION
EQUIPMENT DETAILS
INSPECTION CHECKLIST
Component Condition / Fault to be Checked PASS FAIL
PRESSURE GAUGE Pressure reading within green section
Gauge clean and legible
Gauge free from damage
CYLINDER Free from damage
Label clean and legible
Owner clearly Identified
CONTENTS Weight within specifications
Cylinder inverted and 'bumped' to loosen contents (dry chemical only)
HOSES Hose free of obstructions, end cap in position
Connections checked for tightness
Hose free of cracks and ultraviolet deterioration
SAFETY PIN Safety pin secured from accidental displacement
INSPECTION TAG Attached and marked by competent person within last three months
Signature
PHOTOS / ATTACHMENTS
Attachment
Attachment
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