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OSM 2.15 EXHIBIT 1 FIRE EXTINGUISHER MONTHLY INSPECTION

Monthly Inspection on Fire Extinguisher
UNVR - 0917 - Rowell
06/22/2023

OSM 2.15 EXHIBIT 1 FIRE EXTINGUISHER MONTHLY INSPECTION

Monthly Inspection on Fire Extinguisher

    CONFIRM EXTINGUISHER IS VISIBLE, UNOBSTRUCTED AND IN IT'S DESIGNATED LOCATION

    • Pass
    • Flag
    • Fail

    VERIFY SIGNAGE IS SECURED IN PLACE ABOVE THE FIRE EXTIGUISHER FOR EASY IDENTIFICATION AND VISIBILITY

    • Pass
    • Flag
    • Fail

    VERIFY THE LOCKING PIN IS INTACT AND THE TAMPER SEAL IS UNBROKEN

    • Pass
    • Flag
    • Fail

    EXAMINE EXTINGUISHER FOR OBVIOUS PHYSICAL DAMAGE, CORROSION, LEAKAGE OR CLOGGED NOZZLE

    • Pass
    • Flag
    • Fail

    CONFIRM PRESSURE GAUGE OR INDICATOR IS IN THE OPERABLE RANGE OR POSITION

    • Pass
    • Flag
    • Fail

    LIFT EXTINGUISHER TO ENSURE IT IS STILL FULL

    • Pass
    • Flag
    • Fail

    MAKE SURE THE OPERATING INSTRUCTIONS ON THE NAME PLATE ARE LEGIBLE AND FACING OUT

    • Pass
    • Flag
    • Fail

    CHECK THE LAST PROFESSIONAL SERVICE DATE ON THE TAG. A LICENSED FIRE EXTINGUISHER CONTRACTOR MUST HAVE INSPECTED THE EXTINGUISHER WITH IN THE LAST 12 MONTHS

    • Pass
    • Flag
    • Fail

    TECHNICIAN SIGNATURE

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Source: UNVR - 0917 - Rowell (Community Member)

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