Portable Fire Extinguisher Inspection Checklist XYZ COMPANY PORTABLE FIRE EXTINGUISHERS Self-Inspection Checklist
Name of company: Date of inspection: Signature of inspector:
Instructions: This checklist is designed to assess XYZ Company’s current compliance with OSHA regulations under 29 CFR 1910.157 regarding the placement, use, maintenance and testing of portable fire extinguishers. GENERAL Yes
Item All portable fire extinguishers are approved Portable fire extinguishers using carbon tetrachloride or chlorobromomethane have been banned and not made available All the following portable fire extinguishers have been removed from service: Soldered or riveted shell selfgenerating soda acid o Self-generating foam o Gas cartridge water o
All portable fire extinguishers mounted, located and identified so that they’re readily accessible All portable fire extinguishers fully charged, operable and kept in designated places at all times When fire extinguishers are enclosed in locked cabinets: * Doors are kept unlocked or easily breakable glass * Doors can be opened if the glass is broken
No
Comment
* It’s clear that there are fire extinguishers inside Extinguishers installed where they’re subject to physical damage are protected from impact TRAINING & EDUCATION Item Yes No Employees expected to use fire extinguishers have been trained in: * General principles of fire extinguisher use; and *Hazards of incipient stage fire fighting Training provided at time of initial assignment and annually thereafter SELECTION & DISTRIBUTION Item Yes No At least one fire extinguisher is available for every [square feet] of floor area
Comment
Comment
All portable fire extinguishers selected and distributed based on the classes (see class definitions at end of checklist) of anticipated fires and on the size and degree of hazard affecting their use First Hazard Class
Max. Dist. to Ext.
A
75 feet
B
50 feet
C
50 to 75 feet
D
75 feet INSPECTION, MAINTENANCE & TESTING
Item Portable fire extinguishers inspected monthly Portable fire extinguishers subject to annual maintenance check Each extinguisher has a tag or label securely attached listing month and year of inspection, maintenance, stating that recharging was performed and identifying person performing the service Records of annual maintenance check kept and retained at least 1 year
Yes
No
Comment
Standby or spare units temporarily installed of same type and capacity when portable extinguishers removed for servicing Stored pressure dry chemical extinguishers that require a 12-year hydrostatic test emptied and subjected to maintenance every 6 years (except dry chemical extinguishers with non-refillable disposable containers) HYDROSTATIC TESTING Item Yes No Extinguishers hydrostatically tested at the intervals listed in table below:
Comment
Type of Extinguishers
Test Interval (years)
Stored pressure water and/or antifreeze
5
Wetting agent
5
Aqueous film forming agent (AFFF)
5
Dry chemical with stainless steel
5
Carbon dioxide
5
Dry chemical, stored pressure, with mild steel, brazed brass or aluminum shells
12
Halon 1211
12
Halon 1301
12
Dry powder, cartridge or cylinder operated with mild steel shells
12
Hydrostatic testing performed by trained persons with suitable testing equipment and facilities Hydrostatic testing certification records maintained that show: * date of test; * signature of person who performed test; * serial number (or other identifier) of fire extinguisher tested
Definitions: Class A fire: a fire involving ordinary combustible materials such as paper, wood, cloth, and some rubber and plastic materials Class B fire: a fire involving flammable or combustible liquids, flammable gases, greases and similar materials and some rubber and plastic materials Class C fire: a fire involving energized electrical equipment where safety requires the use of electrically nonconductive extinguishing media Class D fire: a fire involving combustible metals such as aluminum, magnesium, titanium, zirconium, sodium, lithium and potassium Incipient stage fire: a fire that is in the initial or beginning stage and can be controlled or extinguished by portable fire extinguishers, Class II standpipe or small hose systems without the need for protective clothing or breathing apparatus.
