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Monthly visual inspection: complete per AS 1851 / site safety requirements
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Inspection Items
Circle or mark the applicable column for each item: P = Pass | F = Fail | N/A = Not applicable. Record notes for any F.
| # | Check | P | F | N/A | Notes / Action |
|---|---|---|---|---|---|
| Location & Accessibility | |||||
| 1 | Location: extinguisher is in its designated location | ||||
| 2 | Access: unobstructed; can be reached quickly in an emergency | ||||
| 3 | Mounting height: handle approx. 1.0 m from floor; bracket secure | ||||
| 4 | Signage: location sign visible and legible | ||||
| Physical Condition | |||||
| 5 | Cylinder body: no visible damage, dents, corrosion, bulging or leaks | ||||
| 6 | Label / data plate: legible and securely attached; agent type and use instructions visible | ||||
| 7 | Safety pin: in place and intact; pull-ring / pin not bent or missing | ||||
| 8 | Tamper seal / tamper indicator: intact, not broken or missing | ||||
| 9 | Handle / carry handle: no cracks, bends or damage | ||||
| 10 | Trigger / valve: no damage; actuating lever moves freely (do not discharge) | ||||
| Hose, Horn & Nozzle | |||||
| 11 | Hose: no cracks, blockage, fraying or damage (if fitted) | ||||
| 12 | Horn / nozzle: no blockage, damage or cracking; pointing forward | ||||
| # | Check | P | F | N/A | Notes / Action |
|---|---|---|---|---|---|
| Pressure & Charge | |||||
| 13 | Pressure gauge (if fitted): needle in green / charged zone; not in red | ||||
| 14 | Agent weight / level: within spec; no evidence of partial discharge (weigh if required) | ||||
| Service & Compliance | |||||
| 15 | Service tag: present and legible | ||||
| 16 | Last 6-monthly service: within required interval (AS 1851 Maintenance) | ||||
| 17 | Hydrostatic / pressure test date: within required pressure vessel test interval | ||||
| 18 | Annual / periodic inspection certificate: attached and current (if applicable) | ||||
Defects & Action Required (list any item marked F: reference item # from checklist)
| Item # | Defect description | Action taken / reported to | Rectified by / date |
|---|---|---|---|
Declaration
I declare that I have completed this fire extinguisher inspection. I have reported any defects or non-compliant items and have removed the extinguisher from service where required. Any extinguisher found to be defective, discharged or out of service date has been reported to the responsible person and will not be returned to service until it is repaired, recharged or replaced by a licensed technician.