Fire Protection System Inspection Checklist
No.FPS-2026-045
Fire Protection System Inspection Checklist
1. General Information
Record the inspection date, location, and inspector name.
| Inspection date | 7/14/2026 | Address | Deep Mine #5, 1000 Shaft Road, Butte, MT 59701 |
2. Object of Inspection
Identify the fire protection system and its overall condition.
| Object type | Fire Protection System | Object name | Main Level System |
| Technical condition | not filled in |
3. Fire Extinguisher Checklist
Inspect each fire extinguisher: type, pressure, condition, expiry.
| Extinguisher Count | 6 | Hose Reel Count | 2 |
| Sprinkler Zones | 3 |
4. Hose Reel and Sprinkler Checklist
Check hose reels and sprinkler systems: condition, flow, valve position.
| Extinguisher E-02 Pressure: In Green Zone | Hose Reel HR-02 Flow Test: Pass |
5. Inspection Conditions
Note environmental conditions such as temperature and accessibility.
6. Deficiencies
List any deficiencies found, including severity and corrective action.
| No. | Damage description |
|---|---|
| 1 | - |
| 2 | - |
| 3 | - |
7. Additional Information
Provide an overall assessment and recommended corrective actions.
| Identification was carried out | Fire protection system - main level |
| There are remarks | One extinguisher low pressure; hose reel flow test passed. |
8. Inspection Participants
List the safety inspector and safety officer involved.
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | John Carter | Safety Inspector | Lead inspector |
| 2 | Paul Harris | Safety Officer | Reviewed results |
Signatures
Capture signatures of the inspector and safety manager.