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Annual / periodic maintenance record: AS 1851 compliant: to be completed by a licensed fire protection technician
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Annual Inspection Checklist
Mark P = Pass | F = Fail | N/A = Not applicable. Record notes for any item marked F.
Agent Weight / Volume Check
| # | Check | P | F | N/A |
|---|---|---|---|---|
| Location, Access & Signage | ||||
| 1 | Extinguisher present at its designated location and matches the register | |||
| 2 | Unobstructed, clearly visible and readily accessible for immediate use | |||
| 3 | Location identification sign present, correct and visible from a distance | |||
| 4 | Mounting height correct: carrying handle no more than 1200 mm above floor | |||
| 5 | Extinguisher type suits the classes of fire risk in the area | |||
| Mounting & Support | ||||
| 6 | Wall bracket, hook or stand secure and undamaged | |||
| 7 | Extinguisher seated correctly and retained firmly in the bracket or stand | |||
| 8 | Floor stand base stable and not corroded (where fitted) | |||
| External Condition | ||||
| 9 | Cylinder body free of dents, gouges, bulging or distortion | |||
| 10 | No corrosion, pitting, paint blistering or signs of leakage | |||
| 11 | Base, foot ring and neck ring sound (no rust traps or damage) | |||
| Labelling & Identification | ||||
| 12 | Label and operating instructions legible, complete and securely attached | |||
| 13 | Agent type, rating and classification markings clearly visible | |||
| 14 | Date of manufacture legible and within serviceable life | |||
| Operating Mechanism & Safety Devices | ||||
| 15 | Carrying handle and operating lever undamaged and free to move | |||
| 16 | Safety pin in place, free to withdraw and pull-ring not bent | |||
| 17 | Anti-tamper / frangible seal fitted, intact and unbroken | |||
| Hose, Horn & Discharge Assembly | ||||
| 18 | Discharge hose free of cracks, splits, perishing or fraying | |||
| 19 | Hose connections tight and threads undamaged | |||
| 20 | Nozzle, horn or discharge outlet clear of blockage and undamaged | |||
| 21 | Discharge hose retaining clip / holder secure (where fitted) | |||
| Pressure & Charge | ||||
| 22 | Pressure gauge needle reading within the green / charged zone | |||
| 23 | Pressure gauge face clear, undamaged and dial legible | |||
| 24 | Charged weight verified against rated weight and within tolerance | |||
| 25 | Agent condition checked: free-flowing, not caked or compacted (where inspected) | |||
| Service Record & Tagging | ||||
| 26 | Service tag / maintenance record fitted, current and correctly completed | |||
| 27 | Hydrostatic (pressure) test not overdue per the marked test interval | |||
| 28 | Next service date recorded and tag updated on completion | |||
Annual Certification
I certify that I have inspected and serviced the above fire extinguisher in accordance with AS 1851 (Maintenance of fire protection systems and equipment) and applicable standards. The extinguisher has been examined internally (where required), agent weight and pressure checked, recharge completed (where required), tamper seal and service tag renewed, and the unit is in the condition indicated above. Any defective units have been removed from service and tagged accordingly.
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