Attachment D Monthly Fire Extinguisher Inspection.pdf

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4210-- Fire Extinguisher Maintenance and Inspections
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36C26125Q0693
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This document is a Standard Work procedure for monthly fire extinguisher inspections at the VA Palo Alto Health Care System. The standard work details a six-step process performed by a contractor when requested by the Contracting Officer's Representative (COR), including obtaining a master key set, inspecting fire extinguisher locations and equipment, and verifying compliance with The Joint Commission, NFPA, and OSHA standards. Key inspection requirements include checking extinguisher placement (4-5 feet from floor), examining for physical damage, verifying pressure gauge status, inspecting hoses and seals, shaking "ABC" extinguishers to loosen chemical powder, and updating inspection tags. The contractor must return the master key set to the boiler plant and submit completed inspection sheets to the COR, ensuring a comprehensive monthly safety verification process for fire prevention equipment.

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VA Palo Alto Health Care System Page 1 of 2

Standard Work for: Fire Extinguisher Inspection Last updated: 5/5/2025 Owner: Safety & Emergency Management Performed by: Contractor when requested by the COR

Version: 2.0 Revised by: Laura Porter Trigger:

Monthly

VA Palo Alto Mission: Honor America's Veterans by providing exceptional health care that improves their health and well-being.

Standard Work Applicability: To assure fire extinguishers are in working order.

Standard Work Work

Performed By Major Step Details Reason why this step is important

1 COR Send inspection list to contractor

1. Go to Safety Service Drive Fire Extinguishers and Drills folder.

2. Open “Fire Extinguishers Checklist 20XX” excel workbook.

3. Forward required inspection sheets to contractor.

Location list of each fire extinguisher on campus.

2 Contractor Obtain master key set from boiler plant at campus location.

1. Master Key Set cannot be taken off campus. Return keys if need to. Master set is needed to open locked rooms where fire extinguishers are located and record who checked out set of keys.

3. Contractor Inspect fire extinguisher location.

1. Inspect fire extinguisher location not being blocked.

2. Fire extinguisher signage is present.

3. Look for any damage on fire extinguisher cabinet. Ex. door, bubble, handle etc.

4. Appropriate height. No lower than 4 inches from bottom of extinguisher from the floor and no higher than 5 feet from top of extinguisher. (NFPA 10 6.1.3.8.1-3)

5. Match bar code number with number on fire extinguisher sign off list.

In compliance with The Joint Commission, NFPA and OSHA.

4. Contractor Inspect Fire extinguisher.

1. Look over fire extinguisher for any major dents or rusted areas. This includes bottom of extinguisher.

2. Inspect pressure gauge indicator is in the green zone. If indicator is above or below green zone replace extinguisher.

3. Inspect hose for any wear and screwed on finger tight. Tighten if loose.

4. Make sure pin is secured with seal. Replace seal if missing and pin if bent.

In compliance with The Joint Commission, NFPA and OSHA.

file:///S:/Safety/=======%20Fire%20Extinguishers%20and%20Drills%20=======

VA Palo Alto Health Care System Page 2 of 2

5. Shake extinguisher holding the top and bottom of cylinder with both hands to loosen chemical powder. “ABC” extinguishers only.

6. Look over inspection tag if up to date replace extinguisher if past due.

7. Sign tag with current date if extinguisher meets compliance. Replace if extinguisher fails inspection from items listed above.

8. Sign inspection log (printed Fire Extinguisher Template”

9. Place fire extinguisher back into designated location.

10. Continue to next fire extinguisher.

5. Contractor Send completed inspection lists to

COR.

1. Send completed inspection sheets back to the COR.

Record for the completion of monthly fire extinguisher inspection.

6. Contractor Return master key set back to boiler plan after fire extinguisher inspection.

1. Return keys to same boiler plant as they got checked out from. Record for keys returned by personnel.

File details come from the government source that posted it. Updated .