Fire Protection System Inspection Checklist
No.FPS-2026-045
1. General Information
| Inspection date | 7/14/2026 | Address | Deep Mine #5, 1000 Shaft Road, Butte, MT 59701 |
2. Object of Inspection
| Object type | not filled in | Object name | Main Level System |
| Technical condition | not filled in |
3. Fire Extinguisher Checklist
| Extinguisher Count | 6 | Hose Reel Count | 2 |
| Sprinkler Zones | 3 |
4. Hose Reel and Sprinkler Checklist
| Extinguisher E-02 Pressure: In Green Zone | Hose Reel HR-02 Flow Test: Pass |
5. Inspection Conditions
6. Deficiencies
| No. | Damage description |
|---|---|
| 1 | - |
| 2 | - |
| 3 | - |
7. Additional Information
| Identification was carried out | Fire protection system - main level |
| There are remarks | One extinguisher low pressure; hose reel flow test passed. |
8. Inspection Participants
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | John Carter | Safety Inspector | Lead inspector |
| 2 | Paul Harris | Safety Officer | Reviewed results |