Extinguisher inspection record
Aug 20, 2026
Record
| Company | Sample company (fictional) |
|---|---|
| Trade | Fire Extinguishers |
| Inspection | Aug 20, 2026 |
Extinguisher
| Unit or tag number | UN-4137 |
|---|---|
| Location in building | Loading dock |
| Type | Cartridge operated water or antifreeze |
| Container | Refillable |
| Rating on the label | Rating on the label 2 |
| Manufacturer | Tollin Industrial |
| Serial number | SE-4137 |
| Manufacture date | Aug 18, 2026 |
| Last hydrostatic test | Aug 18, 2026 |
| Hydro interval for a type not in Table L-1 | 9 years |
| Last six-year maintenance, recharge or hydro test | Aug 18, 2026 |
| Status | In service |
Inspection
| Date | Aug 20, 2026 |
|---|---|
| Inspected by | Jordan Pike |
| Monthly visual inspection done | Yes |
| Annual maintenance check done | No |
| Result | Deficiency raised |
Monthly
| In its assigned place, hung or in its cabinet (fail: missing) | Pass |
| Gauge or indicator shows a full charge (fail: discharged or low) | Fail |
| Nothing stands in front of it and it can be seen (fail: blocked) | Pass |
| Pull pin and tamper seal in place | Pass |
| Shell and hose undamaged and dry, nozzle clear (fail: damaged) | Pass |
| Operating instructions face out and can be read | Pass |
| Tag carries this month's check and an annual date inside the year (fail: out-of-date tag) | Pass |
Annual
| Shell, valve, hose, nozzle and mounting examined | Pass |
| Charge confirmed by gauge or weight against the nameplate | Pass |
| Hydrostatic test date read and still inside its interval | Pass |
| Stored-pressure dry chemical: six-year maintenance date read and inside six years | Pass |
| New annual tag fitted with the date | Pass |
Readings
| Reading | Value | Result |
|---|---|---|
| Fully charged and operable 29 CFR 1910.157(c)(4) Portable fire extinguishers (osha.gov) (https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.157), checked 2026-10-28 | Yes | Pass |
| In its designated place 29 CFR 1910.157(c)(4) Portable fire extinguishers (osha.gov) (https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.157), checked 2026-10-28 | Yes | Pass |
| Readily accessible 29 CFR 1910.157(c)(1) Portable fire extinguishers (osha.gov) (https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.157), checked 2026-10-28 | Yes | Pass |
Photos
Photos taken on the phone at the job print here, each captioned with what it shows.
Findings
| Severity | Finding | Status |
|---|---|---|
| Remove from service | Gauge or indicator shows a full charge (fail: discharged or low). Failed at this inspection. | Open |
Signature
The signature drawn on the phone at the job prints here.
Next due
| Monthly visual inspection 29 CFR 1910.157(e)(2) Portable fire extinguishers (osha.gov) (https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.157), checked 2026-10-28 | Sep 20, 2026 | Set by rule |
| Annual maintenance check 29 CFR 1910.157(e)(3) Portable fire extinguishers (osha.gov) (https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.157), checked 2026-10-28 | Oct 30, 2026 | Set by rule |
| Hydrostatic test 29 CFR 1910.157(f)(2) and Table L-1 Portable fire extinguishers (osha.gov) (https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.157), checked 2026-10-28 | Aug 18, 2031 | Set by rule |