HomeMy WebLinkAboutFire Systems and Extinguisher Inspection May 2026Name
Address
Contact
Ema il
5YsTEM MAINTENAI{CE CHECKTIST
1. All appliances covered
2. Plenums and ducts covered
3. Nozzl€ placement correct
4. systcm UL 300 Compliant
5. Pressure gauges in proper range
6. lnspect cylinder, liquid, and Bracket
7. Hydro-test Due Date
8. Micro-Switch installed
9. Check Cartridge Weight
10. Test Manual Pull Station
I l. Gas Valve in Place and working
1.2. Test Detection and Fusible Link Line
13. Replace fusible links/Mfg Date ? b
14. Fuse Link Cable Moves Prooerlv
15. Clean Nozzles-or., / Pl"nr. / eop
16. System Reset and Operational
1 7. Review Operation of 6re system
'18. Review Required Monthly lnspection
B&LFIREEQUIPMENT
24 Hunters Ridge Rd . Sagamore Beach MA 02552 . 774-205-4962 . llA-CId.- 4727
b I f i reequip men t. com bob@blfireequipment.com
Fire Systems and Fire Extinguisher Inspection Report
ll {|'tqla c Next tnspection o"" tUCl V h D b
/y1d//)fn4 4W rotat # of Ext
-
Due Next year- service charge-
FIRE EXTINGUISHER MAINTENANCE CHECKLIST
1. Fire Extinguisher Properly lnstalled t/
2. Fire Extinguisher Properly Placed w,./'
3. Fire Extinguishers Maintained Properly JZ
4. All Fire Extinguishers Certified --4
Dry-chem 5lb_Slb_ 1olb_ 20lb_ 6ym_Hydro _
Water_K Class _6L _2.5G _Hydro _
Halo'tron_5lb_1 I lb 15.51b 6ym _ Hydro _
CO 2
-5tB
_ 1oLB- 15LB_ 20LB-Hydro
-
Service collar-- Oring
-Checkstem
-
Pull Pin_ Ext Hook_ HD Brackets _
Cabinet Covers-FEC Covers _ FX Cabinet_
Vinyl sign- Plastic Sign_ 90 degree sign_
3D Sign Bulbs Batteries ---Mise. Parts
NEW FIRE EXTINGUISHERS
Dry-Chem 2.51b_ 5lb _ 1Olb_ 20lb _
Halotron 2.51b 5lb lllb_ 15.51b_
Water _ K Class 6L 2.5G_
co2 2.sLB sLB_ loLB lsLB 20LB _
Misc Fire Ext
Cooking Appliances Left to Right
Atrtc
M ise. Parts
Hood Grease Accumulation: Moderate
-
Heavy- Excessive
-
Comments
Desrepancies
€a
Da te
t lqg ZztrP 7F Extinguisher lnspections _ E- Light lnspections_C
--7
,-''t'
lt-'
U,-
gu-
€
v,"-
l'/'
L-
,-'-
-ttt'-
3='--7-7'-7
n1 a
FusibleLinks 165 _ 212_360.,( 450 _ 500_RG Seals-LAnsul Caps - Buck Caps
-
Meral Caps-
12 qram
-
16 gram
-
Buck single
-
Buck Multi-Ansul N2
-
double N2-C02TYPE
Non - Compliance lssued
ilecom mendation s
Fire System lnstalled and
Fire System Manufacturer
,?;4 anufacturers Manualto
Fire System Model 2
Fire System Tagged and Certified Certi6cation Exprires
Fire Extinguishers lnstalled and Maintained in Accordance with NFPA 10
Fir e Extinguishers Tagged and Certified Certifrcation Expires h
service hnician Li(.*
I It
Cuitomer's Authorized Representative
On lhis date, the above system was tested and inepecled in ac(ordan(e with pro(edores of the cunent NPPA 17A AND 96 edition and the manuf.durer manualat lime of
inni ation. On this dare, the above 6re extinguishers and 6re equipment were inspected or servi.ed in accordanc with procedur€s of lhe NFPA 10 and the ma.ufatturers
minuel. with lhe r€sults indicated above. A copv ofthis report willbe totwaded to the locnifirc d€panment'
t/
'll