SF 6.3-5, Rev.2, Date: Sep 20, 2012 - Approved By: CEO
Format not to be altered without the CEO permission Date of Inspection Weekly / Monthly / Quarterly (circle one) Area / Location
Fire Extinguishers OK Comments Correct types in place Not discharged Visually in good condition Accessible None missing Fire Hoses / Hose reels OK Visually in good condition None leaking Accessible Operational Fire & Smoke Doors / Shutters OK Visually in good condition None Damaged None obstructed Close fully Emergency Escape Doors OK Visually in good condition None Damaged None obstructed Open easily from inside Waste and Cleanliness (House Keeping) Housekeeping Floors kept clear Waste removed regularly Sewage clearing regularly Warehouse skipping clearing Washroom Cleaning Office & warehouse Front area Telephone Cleaning Dust build up removed Ignition Sources OK Smoking rules obeyed Hot work permits used Electric Kept clear Friction moving equip Static no evidence of build up Hot surfaces kept clear Burners / Heaters OK No Security breaches (arson) No fuel in yard for arsonists
Preventive Maintenance Inspection Checklist
SF 6.3-5, Rev.2, Date: Sep 20, 2012 - Approved By: CEO Format not to be altered without the CEO permission Electric Equipments OK Comments Visually in good condition No damaged cabling Trailing leads secured Sockets not overloaded Portable equipment OK
Combustibles OK Stored in proper places Aisles / fire break kept clear Height limits not exceeded Outdoor yard storage OK Indoor / Outdoor idle pallets OK Kept clear of ignition sources Construction / insulation OK Flammables OK Stored in proper places Floor drainage unobstructed Ventilation fans OK Intrinsically Safe electrics OK Non Sparking tools used Building Structures OK Visually in Good condition No damages in walls or floors Roof not damaged nor leaking Gutters / drains not blocked Boundaries & enclosure secure Plumbing Visually in Good condition No damages in the pipe & taps No water leakage Water available on the line Conditions in washroom & WC Equipment Verification (Temperature Gauge) Working in Good condition Kept in the required Area Available in Equipment Register Calibrated Sticker available Calibration Certificate available Air Conditioners Working in Good condition Thermostat working in Good No Water leakage Service Done as per Sticker AMC Available
Preventive Maintenance Inspection Checklist
SF 6.3-5, Rev.2, Date: Sep 20, 2012 - Approved By: CEO Format not to be altered without the CEO permission Combustible composite panels OK All panels undamaged No exposed insulation materials All penetration sealed Repairs undertaken promptly Fire explosion control equipment OK Visually in good condition In service & in expected mode Hydrants kept clear Fire control valves locked open Locks / chains / straps unbroken Fire pumps in automatic Water supply tanks full Diesel fuel tanks >3/4 full Shutdown supervision OK Test & inspection record OK Maintenance records OK
ANY ADDITIONAL COMMENTS Inspected By Reviewed By Signature Signature Date Date