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Monthly visual inspection record per AS 1851 and workplace fire safety requirements
Mark P (Pass), F (Fail), or N/A for each item. Any failure requires immediate corrective action or removal from service.
| # | Inspection Item | P | F | N/A | Notes |
|---|---|---|---|---|---|
| Location & Access | |||||
| 1 | Extinguisher in designated location as per floor plan | ☐ | ☐ | ☐ | |
| 2 | Mounted at correct height (handle no more than 1.2m from floor) | ☐ | ☐ | ☐ | |
| 3 | Access clear, no obstructions within 1m of extinguisher | ☐ | ☐ | ☐ | |
| 4 | Visible from normal approach path or location sign installed | ☐ | ☐ | ☐ | |
| Physical Condition | |||||
| 5 | Cylinder free from dents, corrosion, or physical damage | ☐ | ☐ | ☐ | |
| 6 | Hose and nozzle intact with no cracks or blockages | ☐ | ☐ | ☐ | |
| 7 | Handle and lever mechanism undamaged and functional | ☐ | ☐ | ☐ | |
| 8 | Mounting bracket secure and not damaged | ☐ | ☐ | ☐ | |
| 9 | Weight within acceptable range (lift test or weigh) | ☐ | ☐ | ☐ | |
| Pressure & Seals | |||||
| 10 | Pressure gauge in green zone (stored-pressure type) | ☐ | ☐ | ☐ | |
| 11 | Safety pin in place and secured with tamper seal | ☐ | ☐ | ☐ | |
| 12 | Tamper seal intact and unbroken | ☐ | ☐ | ☐ | |
| 13 | No visible signs of discharge or leakage | ☐ | ☐ | ☐ | |
| 14 | Valve assembly free of corrosion or damage | ☐ | ☐ | ☐ | |
| Signage | |||||
| 15 | ID label and fire class rating legible | ☐ | ☐ | ☐ | |
| 16 | Operating instructions clearly visible and not faded | ☐ | ☐ | ☐ | |
| 17 | Wall-mounted location sign (red with white text) present | ☐ | ☐ | ☐ | |
| 18 | Hydrostatic test date within expiry (5-year cycle) | ☐ | ☐ | ☐ | |
| Record Keeping | |||||
| 19 | Service tag attached and current (6-monthly service) | ☐ | ☐ | ☐ | |
| 20 | Monthly inspection log up to date at this location | ☐ | ☐ | ☐ | |
| 21 | Any defects reported and logged in maintenance system | ☐ | ☐ | ☐ | |
| 22 | Replacement or service scheduled if extinguisher due | ☐ | ☐ | ☐ | |
Declaration
I confirm this monthly inspection has been completed in accordance with AS 1851 routine service requirements. Any failed items have been actioned or the extinguisher has been removed from service pending rectification.