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  • Portable Fire Extinguisher Record

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    Mohamad Hidayat Zainul Masri
    34 Ansichten2 Seiten
    This document records maintenance of portable fire extinguishers at a nursing home facility. It lists the location, type, serial number, date of manufacture, and details of last maintenance, recharge, and hydrotest for each extinguisher. Maintenance includes annual service or 6-year maintenance depending on the extinguisher. One extinguisher was used to put out a dryer fire and was promptly recharged.

    Originalbeschreibung:

    fire checklist

    Originaltitel

    Fire Ext Record

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    This document records maintenance of portable fire extinguishers at a nursing home facility. It lists the location, type, serial number, date of manufacture, and details of last maintenance, recharge, and hydrotest for each extinguisher. Maintenance includes annual service or 6-year maintenance depending on the extinguisher. One extinguisher was used to put out a dryer fire and was promptly recharged.

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    © All Rights Reserved
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    34 Ansichten2 Seiten

    Portable Fire Extinguisher Record

    Hochgeladen von

    Mohamad Hidayat Zainul Masri
    This document records maintenance of portable fire extinguishers at a nursing home facility. It lists the location, type, serial number, date of manufacture, and details of last maintenance, recharge, and hydrotest for each extinguisher. Maintenance includes annual service or 6-year maintenance depending on the extinguisher. One extinguisher was used to put out a dryer fire and was promptly recharged.

    Copyright:

    © All Rights Reserved
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    von 2

    <<Facility Name>>

    PORTABLE FIRE EXTINGUISHER RECORD


    All testing and maintenance performed on the facilitys portable fire extinguishers must be documented in this record. Monthly visual
    inspections are to be documented on a tag attached to each extinguisher.
    Extinguisher
    Number

    Type

    Serial/Model
    No.

    Date of
    Mfr

    Last Maintenance
    Date

    Performed By

    Last Recharge
    Date

    Performed By

    Pressure Level
    Date

    Bar

    COMMENTS: _____________________________________________________________________________________________________________________________
    _________________________________________________________________________________________________________________________________________
    _________________________________________________________________________________________________________________________________________
    _________________________________________________________________________________________________________________________________________
    _________________________________________________________________________________________________________________________________________
    _________________________________________________________________________________________________________________________________________

    ANY TOWN NURSING HOME

    PORTABLE FIRE EXTINGUISHER RECORD


    All testing and maintenance performed on the facilitys portable fire extinguishers must be documented in this record. Monthly visual
    inspections are to be documented on a tag attached to each extinguisher.
    Extinguisher
    Location
    Kitchen
    Laundry
    First Floor
    South Wing
    First Floor
    North Wing

    Type
    K-Type
    Wet Chem
    ABC
    Dry Chem
    ABC
    Dry Chem
    ABC
    Dry Chem

    Last Maintenance

    Last Recharge

    Serial/
    Model
    No.

    Date of
    Mfr

    Type

    Date

    Performed By

    Date

    xxx/yyy

    1996

    Annual

    12/16/08

    ABC Exting. Co.

    12/16/08

    ABC Exting. Co.

    xxx/yyy

    2007

    Annual

    12/16/08

    ABC Exting. Co.

    6/11/08

    ABC Exting. Co.

    xxx/yyy

    2002

    6-year

    12/16/08

    ABC Exting. Co.

    12/16/08

    ABC Exting. Co.

    xxx/yyy

    2002

    6-year

    12/16/08

    ABC Exting. Co.

    12/16/08

    ABC Exting. Co.

    Performed By

    Last Hydrotest
    Date
    12/16/08

    Performed By
    ABC Exting. Co.

    COMMENTS: Extinguisher in laundry used on dryer motor fire on 6/10/08 picked up by ABC Extinguisher Company and recharged on 6/11/08 ______________________
    _________________________________________________________________________________________________________________________________________
    _________________________________________________________________________________________________________________________________________
    _________________________________________________________________________________________________________________________________________
    _________________________________________________________________________________________________________________________________________
    _________________________________________________________________________________________________________________________________________

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