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Fire Extinguisher Inspection Checklist

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FIRE EXTINGUISHER INSPECTION CHECKLIST

FEC Ref No: DNSTP FEC-HSE- Rev. 0 Date:


Project: DNSTP
Activity: Company:

INDICATE
SN DESCRIPTION REMARKS
Y (YES); N (NO)
Are your fire extinguishers in their designated
1 locations? I.e. hung on the wall, in their stand,
aligned with appropriate signage?
Are your fire extinguishers clearly visible and easily
2
accessible?
Are the operating instructions on the extinguisher
3 still legible, clean and facing outwards?

Are there any signs of tampering? I.e. are the tamper


indicators and seals intact?
4

Are there any signs that the fire extinguisher has been
5 used? I.e. discharge on the hose or horn of the
extinguisher
Is the pressure rating on the pressure gauge or
6
indicator on the extinguisher within the safety limit?
Is there any damage to the extinguisher?
7

DOCUMENT AUTHORITY
Role Name Signature Date
Prepared By:
Confirmed By:
Validated By:

Page 1
WORKING AT HEIGHTS INSPECTION CHECKLIST

INDICATE
SN DESCRIPTION REMARKS
Y (YES); N (NO)
Is the ladder or step-ladder secured so as to prevent
20
undue swaying?
Where formwork erection, dismantling or shifting is to be
21 carried out, is a method statement, safe work procedures
and risk assessment for the works available?
At the fixed edge or openings of the formwork structure, is
22 the open side guarded by effective means to prevent
falls?
At the moving edge of the formwork structure, is the
23
opening adequately covered or guarded?
If “no” for S/N 23, is a travel restraint or fall arrest system
24
provided?
Are persons involved in formwork (i.e. formwork
25
supervisor, formwork workers) adequately trained?
Are all plant and equipment used appropriate for work at
26
height activities?

27 Is the operator and the equipment 3rd party certified?

Are scaffolds designed, erected, and dismantled by a


28
competent person and supervisor?
Are tower scaffolds erected on firm level ground with the
29
wheels or feet properly supported?
Is scaffolding tag fitted to the tower scaffold showing the
30 date of the last inspection? Unsafe mobile scaffolds are to
show a red scaffolding tag.
Additional Comments:

DOCUMENT AUTHORITY
Role Name Signature Date
Prepared By:
Confirmed By:
Validated By:

Doc. No.: ACT-HSE-F35 Rev. No.: 01 Rev. Date: 24-Oct-2020 Page 2 of 2

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