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Portable Fire Extinguisher
Monthly Inspection Log
OSHA 29 CFR 1926.150 · NFPA 10 · NYC FC §906.2 · Annual Professional Service Required
PL-017
Project Address
General Contractor DOB Job No. SSM Name & License #
CSFSM Name & COF No. Year
Monthly inspection required per NFPA 10 §7.3. Check: gauge needle in the green zone, pull pin installed with tamper seal intact, nameplate legible, no physical damage to shell or hose. Apply inspection tag. Any deficiency — remove from service and replace immediately. Annual maintenance by a qualified contractor required per NFPA 10 §7.4; record service date in the final column.
# Ext. ID Location Type / Rating JanFebMarAprMayJunJulAugSepOctNovDec Annual Svc. Date
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16

KEY: Enter initials + date for compliant inspection  |  ✗ = Deficiency found — remove from service  |  — = Extinguisher not yet deployed to site

SSM Name (print)License No.
SSM SignatureDate
CSFSM Name (print)COF No.
CSFSM SignatureDate