Fire Extinguisher Inspection Form
Location
Please Select
Skillman North
Skillman South
Skillman East
Hannan Ranch
Lohrman
Rebecca
Magnolia
Thompson
Sonoma Mountain
Penngrove North
Penngrove South
Auberry North
Makena South
Auberry West
Bradley
DaVinci
Mary
Washington
Petaluma IOP
Fresno IOP
Industrial Kitchen Petaluma
Year
Month
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Inspector's Information
Inspected By
*
First Name
Last Name
Inspection Date
*
-
Month
-
Day
Year
Date
Fire Extinguisher Information
Fill out the fire extinguisher details
*
Rows
Tag Initialed
Charged
Extinguisher 1
Yes
No
N/A
Yes
No
N/A
Extinguisher
2
Yes
No
N/A
Yes
No
N/A
Extinguisher
3
Yes
No
N/A
Yes
No
N/A
Extinguisher
4
Yes
No
N/A
Yes
No
N/A
Extinguisher
5
Yes
No
N/A
Yes
No
N/A
Extinguisher 6
Yes
No
N/A
Yes
No
N/A
Extinguisher 7
Yes
No
N/A
Yes
No
N/A
Extinguisher 8
Yes
No
N/A
Yes
No
N/A
Extinguisher 9
Yes
No
N/A
Yes
No
N/A
Van
Yes
No
N/A
Yes
No
N/A
Comments:
Inspector's Signature
*
Submit
Should be Empty: