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FIRE FIGHTING EQUIPMENT CHECKLIST: MONTHLY BY …

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

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

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  Checklist, Supervisor, Fire, Fighting, Monthly, Equipment, Fire fighting equipment checklist, Monthly by, Monthly by supervisor

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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.


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