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FIRE EXTINGUISHER MONTHLY INSPECTION CHECKLIST

Inspected By: (sign) Designation: Safety Officer/Doc. Controller Date Inspected:


Company : GS Neotek Covered Month:

Types: DC, CO2, H2O Legend: :Good Condition X: Poor Condition N/A: Not Applicable
SI #
Extinguisher
ID #
Location Type
Capacity
Kg./Lbs.
Check If Satisfactory
Remarks
Seal/Pin
Pressure
Gauge
Body &
Handle
Nozzle
Inspection
Tag
1

2

3

4

5

6

7

8

9

10

11

12

13

14
15