MECHANICAL FOAM EXTINGUISHERS PREVENTIVE MAINTENANCE RECORD

Extinguisher No.: Capacity : Date of Installation : Extinguisher Location : Refilling Due : Inspection Date: Mar Apr May Jun Jul Aug Sep Oct Nov

Hydraulically Tested on :

YES = Satisfactory; NO = Un Satisfactory (Write comments in remarks column) S.No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Checks to be done Foam Nozzle in good Condition
Discharge Hose Assembly (No cracks, properly tightened)

Jan

Feb

Exterior condition ( No corrosion or damaged) Paint in good condition Identification number clear Operating instruction clear Liquid condition (No sediments) Cap condition (no cracks, vent holes free, polish) Washer in good condition Plunger & piercer (free movement) Interior shell condition (No corrosion or damages) Internal discharge tube & strainer safety clip ( properly fixed with chain) Wheels condition (Free movement) Inspection Tag Provided Gas cartridge weight in Kgs Checked by

Remarks:

F-10-009/00 -

Compiled by : Date :

Checked by : Date :

Approved by : Date :

SHERS PREVENTIVE MAINTENANCE RECORD

Dec

CARBON - DIOXIDE EXTINGUISHERS PREVENTIVE MAINTENANCE RECORD

Extinguisher No.: Capacity : Date of Installation : Extinguisher Location : Refilling Due : Inspection Date: Mar Apr May Jun Jul Aug Sep Oct Nov

Hydraulically Tested on :

YES = Satisfactory; NO = Un Satisfactory (Write comments in remarks column) S.No. 1 2 3 4 5 6 7 8 9 10 11 12 13 Checks to be done Body not Corroded Paint in good condition Identification number Clear Operating instruction clear Discharge hose in good Washer in good condition Discharge Horn Assembly in good Control valve (Free movement) Safety pin properly fixed with chain Carrying Handle Tightly Fixed Wheel Carriage ( Free movement) Inspection Tag Provided Gross Weight in Kgs Checked by Remarks: Jan Feb

F-10-010/00 -

Compiled by : Date :

Checked by : Date :

Approved by : Date :

HERS PREVENTIVE MAINTENANCE RECORD

Dec

DCP EXTINGUISHERS PREVENTIVE MAINTENANCE RECORD

Extinguisher No.: Capacity : Date of Installation : Extinguisher Location : Refilling Due : Inspection Date: Mar Apr May Jun Jul Aug Sep Oct Nov

Hydraulically Tested on :

YES = Satisfactory; NO = Un Satisfactory (Write comments in remarks column) S.No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Checks to be done Discharge Control Nozzle (Free movement , No clogging) Discharge Hose Assembly (No cracks, properly tightened) Paint in good condition Identification number Clear Operating instructions Clear Exterior condition (No corrosion or damaged) Powder (Free Flowing, No Caking) Cap condition (No cracks, Vent holes free, polish) Washer in good condition Plunger & Piercer (Free movement) Interior condition (No corrosion or damages) Internal shell (No damages) Port Holes clear Internal discharge tube ( Not blocked) Gas cartridge weight in Kgs Safety Clip (Properly fixed with chain) Status sticker provided Checked by Remarks: Jan Feb

F-10-011/00 -

Compiled by : Date :

Checked by : Date :

Approved by : Date :

REVENTIVE MAINTENANCE RECORD

Dec

PEDAL/ EYE WASHERS PREVENTIVE MAINTENANCE RECORD

Equipment No.: Type of Equipment: : Equipment Location :

YES = Satisfactory; NO = Un Satisfactory (Write comments in remarks column) S.No. 1 2 3 4 Checks to be done Condition of Painting Push lever/Valve Cushions Water flow Checked by Remarks: Jan Feb Mar Apr May Jun Jul Aug

Inspection Date: Sep Oct Nov

F-10-012/00 -

Compiled by : Date :

Checked by : Date :

Approved by : Date :

PREVENTIVE MAINTENANCE RECORD

Dec

SAFETY EQUIPMENT WEEKLY CLEANING RECORD

Month: Schedule: Monday Year:

General checking & cleaning of all safety equipments in Block - A Tuesday General checking & cleaning of all safety equipments in Engineering & Boiler Wednesday General checking & cleaning of all safety equipments in Kilo lab & Pilot plant Thursday General checking & cleaning of all safety equipments in Block - B. Friday General checking & cleaning of all safety equipments in QCD, R &D labs and Admn. Building. Saturday General checking & cleaning of all safety equipments in Warehouse & Solvent yard
Cleaning Details: Date 1 Cleaning status Performed by 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Date Cleaning status Performed by Remarks:

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

Note: 1.Mention "YES" for completed work, if work not completed note the reason in remarks column. 2.Safety equipments includes all type of fire extinguishers, sand buckets, Fire hoses, Pedal showers, Eye washers, Eye wash bottles, PPE boxes, Firstaid boxes, Display boards, Wind socks, Oxygen cylinders and Spark arrestors.

F-10-013/00 -

Compiled by : Date :

Checked by : Date :

Approved by : Date :