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
Auberry South
Bradley
DaVinci
Mary
Petaluma IOP
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
*
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
Extinguisher 10
Yes
No
N/A
Yes
No
N/A
Comments:
Inspector's Signature
*
Submit
Should be Empty: