FFE Records

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Doc. No.
company name
FIRST AID BOX CHECKING Items as per Factories Act, 1948 Small sterilized dressings Medium- size sterilized dressings Large- size sterilized dressings Large-size sterilized burn dressings (15 gms) Packets sterilized cotton wool A bottle containing a two per cent alcoholic solution of iodine Salvolatile Solution Bottle (Savlon) Roll of adhesive plaster A snake-bite lancet Packet of potassium permanganate crystals Scissor First Aid Booklet Aspirin Tablets Ointment for burns (Burnol) A bottle of a suitable surgical anti-septic solution (Dettol) Location Expiry Date
Rev. No. Issue/Rev. Date
00 12.11.2010
Month:
Item No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Remark
Monthly Checking Done
Name
Sign
Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010
Fire Extinguihser - Master list

Extinguisher No. Location Type Capacilty Remarks
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
2 of 24

42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
3 of 24

83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123
4 of 24
Month:
Extinguisher No. Quarterly Checks Condition of Location Capacilty Safety Pin & Discharge Seal Horn, Handle Discharge Tube
CO2 EXTINGUISHER CHECKING

Yearly Checks Weight of CO2 Extinguisher Condition of Gross / Full Actual As on Diffrence in Valve Weight Weight Weight Remarks
Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
5 of 26
Month:
Extinguisher No. Quarterly Checks Condition of Location Capacilty Safety Pin & Discharge Seal Horn, Handle Discharge Tube
CO2 EXTINGUISHER CHECKING

Yearly Checks Weight of CO2 Extinguisher Condition of Gross / Full Actual As on Diffrence in Valve Weight Weight Weight Remarks
Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok
NA NA NA NA NA NA NA NA NA NA NA NA NA
Quarterly Checking Done
Yearly Checking Done
Name
Name
Sign
Sign
6 of 26
Month:
Extinguisher No.
DCP EXTINGUISHER CHECKING

Quarterly Checks Yearly Check Condition of CO2 Cartridge DCP Safety Discharge Inner Gross / Full Actual As Diffrence in Powder Pin & Tube Container Weight on Weight Weight Seal
Location
Capacity
Squeeze Nozzle
Remarks
Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok
NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
7 of 24
Month:
Extinguisher No.

Location
Capacity
Squeeze Nozzle
Remarks
8 of 24
Month:
Extinguisher No.

Location
Capacity
Squeeze Nozzle
Remarks
9 of 24
Month:
Extinguisher No.

Location
Capacity
Squeeze Nozzle
Remarks
Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok Ok
NA NA NA NA NA NA NA NA NA NA NA
Name
Name
Sign
Sign
10 of 24
Month:
Extinguisher No.
MECHANICAL FOAM EXTINGUISHER CHECKING

Quarterly Checks Condition of Location Capacity Safety Pin & Seal Discharge Tube Foam Solution Yearly Checks Weight of CO2 Cartridge Movement Gross / Full Actual As Diffrence in of wheels Weight on Weight Weight Remarks
Ok Ok Ok Ok Ok Ok Ok
NA NA NA NA NA NA NA
Name
Name
Sign
Sign
Month:
Extinguisher No.
ABC EXTINGUIHSER CHECKING

Quarterly Checks Location Capacity (Kg) Nozzle Condition of Remarks Safety Pin & Seal Discharge Tube Nitrogen Pressure
Name
Sign
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Doc. No.
company name
Month:
Condition of Hand Eye wash operated Showers valve
Rev. No. Issue/Rev. Date
SAFETY EYE WASHER CHECKING

Monthly checking
Sr. No.
Location Body wash Shower
Foot operated Valve
Remarks Any leakage Drain Pipe
1 2
Near Bay 05 Entrance Near DM Plant
Ok Ok
Ok Ok
No No
Ok Ok
Name
Sign
00 12.11.2010
Remarks
logo
company name
Month:
Monthly checking Sr. No. Location Condition of
SELF CONTAINED BREATHING AP
1 2
Near Bay 05 Entrance Near DM Plant
Ok Ok
Ok Ok
Name
Sign
TAINED BREATHING APPARATUS CHECKING
checking Remarks
No No
Ok Ok
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company name
Month:
Condition of Monthly checking Sr. No. Location
AIR LINE CABINET CH
1 2
Name
Sign
AIR LINE CABINET CHECKING
checking Remarks

FFE Records

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compan y logo

Rev. No. Issue/Rev. Date

Monthly Checking Done

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

Fire Extinguihser - Master list

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

Fire Extinguihser - Master list

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

Fire Extinguihser - Master list

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

CO2 EXTINGUISHER CHECKING

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

CO2 EXTINGUISHER CHECKING

Quarterly Checking Done

Yearly Checking Done

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

DCP EXTINGUISHER CHECKING

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

DCP EXTINGUISHER CHECKING

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

DCP EXTINGUISHER CHECKING

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

DCP EXTINGUISHER CHECKING

Quarterly Checking Done

Yearly Checking Done

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

MECHANICAL FOAM EXTINGUISHER CHECKING

Quarterly Checking Done

Yearly Checking Done

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

ABC EXTINGUIHSER CHECKING

Quarterly Checking Done

Rev. No. Issue/Rev. Date

SAFETY EYE WASHER CHECKING

Location Body wash Shower

Foot operated Valve

Remarks Any leakage Drain Pipe

Near Bay 05 Entrance Near DM Plant

Monthly Checking Done

SELF CONTAINED BREATHING AP

Near Bay 05 Entrance Near DM Plant

Monthly Checking Done

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

TAINED BREATHING APPARATUS CHECKING

AIR LINE CABINET CH

Monthly Checking Done

Doc. No. Rev. No. Issue/Rev. Date 00 12.11.2010

AIR LINE CABINET CHECKING

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