Fire extinguisher check list (1)
Fire extinguisher check list (1)
Item No. Items as per Factories Act, 1948 Location Expiry Date Remarks
10
Checking Done By
Name :
Sign :
Fire Extinguishser - Master list
Extingui-
Location Type Capacilty Remarks
sher No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
2 of
CO2 EXTINGUISHER CHECKING SLIP
Condition of
Extinguisher
Date of checking Location Capacilty Remarks
No. Safety Pin & Discharge Discharge Condition of
Seal Handle Tube Valve
Security Ok Ok Ok Ok
Meter room Ok Ok Ok Ok
Generator room Ok Ok Ok Ok
Basement Ok Ok Ok Ok
Basement Ok Ok Ok Ok
Basement Ok Ok Ok Ok
Basement Ok Ok Ok Ok
Basement Ok Ok Ok Ok
Basement Ok Ok Ok Ok
Basement Ok Ok Ok Ok
Basement Ok Ok Ok Ok
Basement Ok Ok Ok Ok
Reception Ok Ok Ok Ok
Reception Ok Ok Ok Ok
Washing Ok Ok Ok Ok
G.Floor Ok Ok Ok Ok
R.O Plant
I/R
Name : I/R
Cutting
Sign : Cutting
3 of
Cutting
Fabric store
Out side
Out side
Production-1
Production-1
1st floor
1st floor
1st floor
Packing
Acc/store
Store
Finishing
Finishing
Finishing
Finishing
Finishing
Finishing
Canteen
Canteen
D.G.Room
Pannel room
4 of
B.L.International (P) Ltd
C-8,Sec-59,Noida
Hydrant Check List
1 Jan-15
2 Feb-15
3 Mar-15
4 Apr-15
5 May-15
6 Jun-15
7 Jul-15
8 Aug-15
9 Sep-15
10 Oct-15
11 Nov-15
12 Dec-15
Checking Done By:
Name :
Sign :
B.L.International (P) Ltd
C-8,Sec-59,Noida
Hydrant Check List
Month of Date Of Water
S.No
testing checking
Location Pipe Nozzle Valves
Line
Status Checked By
1 Jan-15
2 Feb-15
3 Mar-15
4 Apr-15
5 May-15
6 Jun-15
7 Jul-15
8 Aug-15
9 Sep-15
10 Oct-15
11 Nov-15
12 Dec-15
5 of
Checking Done By:
Name :
6 of
FOAM EXTINGUISHER CHECKING RECORD
Condition of
Extinguisher
Date of checking Location Capacity Remarks
No. Safety Pin Discharge Foam Movement
& Seal Tube Solution of wheels
Ok Ok Ok Ok
Ok Ok Ok Ok
Ok Ok Ok Ok
Ok Ok Ok Ok
Ok Ok Ok Ok
Ok Ok Ok Ok
Ok Ok Ok Ok
Name :
Sign :
ABC EXTINGUIHSER CHECKING RECORD
Condition of
Extinguisher Capacity
Date of checking Location
No. (Kg)
Safety Pin & Seal Discharge Handle Discharge Tube
1 7/3/2013 Security 5 kg
4 7/3/2013 Basement 5 kg
5 7/3/2013 Basement 5 kg
6 7/3/2013 Basement 5 kg
7 7/3/2013 Basement 5 kg
8 7/3/2013 Basement 5 kg
9 7/3/2013 Basement 5 kg
10 7/3/2013 Basement 5 kg
11 7/3/2013 Basement 5 kg
12 7/3/2013 Basement 5 kg
13 7/3/2013 Reception 5 kg
14 7/3/2013 Reception 5 kg
15 7/3/2013 Washing 5 kg
16 7/3/2013 G.Floor 5 kg
18 7/3/2013 I/R 5 kg
19 7/3/2013 I/R 5 kg
20 7/3/2013 I/R 5 kg
21 7/3/2013 Cutting 5 kg
22 7/3/2013 Cutting 5 kg
23 7/3/2013 Cutting 5 kg
27 7/3/2013 Production-1 5 kg
28 7/3/2013 Production-1 5 kg
32 7/3/2013 Packing 5 kg
33 7/3/2013 Acc/store 5 kg
34 7/3/2013 Store 5 kg
35 7/3/2013 Finishing 5 kg
36 7/3/2013 Finishing 5 kg
37 7/3/2013 Finishing 5 kg
38 7/3/2013 Finishing 5 kg
39 7/3/2013 Finishing 5 kg
40 7/3/2013 Finishing 5 kg
41 7/3/2013 Canteen 5 kg
42 7/3/2013 Canteen 5 kg
43 7/3/2013 D.G.Room 5 kg
44
46
47
48
49
50
Checking Done
Name :
Sign :
Remarks
Condition Valve
B.L.International (P) Ltd
C-8,Sec-59,Noida
ABC EXTINGUIHSER CHECKING RECORD
Condition of
Date of Capacity
Location Remark and Sign
checking (Kg) Safety Pin & Discharge Discharge Condition
Seal Handle Tube Valve
Jan-14
Feb-14
Mar-14
Apr-14
May-14
Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
B.L.International (P) Ltd
C-8,Sec-59,Noida
ABC EXTINGUIHSER CHECKING RECORD
Condition of
Date of Capacity
Location Remark and Sign
checking (Kg) Safety Pin & Discharge Discharge Condition
Seal Handle Tube Valve
Jan-14
Feb-14
Mar-14
Apr-14
May-14
Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
B.L.International (P) Ltd
C-8,Sec-59,Noida
ABC EXTINGUIHSER CHECKING RECORD
Condition of
Date of Capacity
Location Remark and Sign
checking (Kg) Safety Pin & Discharge Discharge Condition
Seal Handle Tube Valve
Jan-14
Feb-14
Mar-14
Apr-14
May-14
Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
B.L.International (P) Ltd
C-8,Sec-59,Noida
Monthly Fire Alarm Check List
Month of
Alarm No Location Glass Date Of chNext Date Status Checked By
testing
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Oct-15
Nov-15
Dec-15
Checking Done By:
Name :
Sign :
B.L.International (P) Ltd
C-8,Sec-59,Noida
Monthly Fire Alarm Check List
Month of Date Of
Alarm No Location Glass checking Next Date Status Checked By
testing
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Oct-15
Nov-15
Dec-15
Checking Done By:
Name :
Sign :
B.L.International (P) Ltd
C-8,Sec-59,Noida
Monthly Fire Alarm Check List
Month of Date Of
Alarm No Location Glass checking Next Date Status Checked By
testing
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Oct-15
Nov-15
Dec-15
Checking Done By:
Name :
Sign :