Transcription of FIRE FIGHTING EQUIPMENT CHECKLIST: MONTHLY BY …
1 Initial Date: January 2015 Safety, Health and Environment Standards Revision Date: January 2017 Revision No: 01 Document No: fire FIGHTING EQUIPMENT checklist : MONTHLY BY supervisor SITE: APPOINTED PERSON TO INSPECT: POINTS TO BE CHECKED EQUIP NO LOCATION MONTHS JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Accessibility clear/ floor demarcated Locations marked & Identified Symbolic signs conspicuously displayed Correct type of EQUIPMENT selected Safety pin and seal intact Hose in good condition & discharge nozzle clean Indicator gauge shows sufficient contents Physical condition of cylinder Last inspection date present
2 Sufficient EQUIPMENT as per assessment survey Other (describe): Appointed person checked: Appointed Contractor supervisor certified: Safety Officer checked on date: Contractor Site Manager to sign: REMARKS.