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California fire extinguisher inspection report template

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Your California fire extinguisher inspection report has 9 rules to meet. ReportDraft puts every one on your checklist and checks your draft before you sign.

  • Condemned units get a red Condemned tag; obsolete types come out of service
  • Owner keeps inspection records until the next maintenance
  • A visual inspection every month

A fire extinguisher inspection report template set up for California, with fields for the licensed concern (name as on the license, business location and local phone), concern's license number (E number) and license type, person who performed or supervised the service and certificate of registration (EE) number of the person who serviced. In Word and PDF.

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REPORTDRAFT.COM
California Fire extinguisher inspection Template
Building or facility
Address
Inspection date
Person who performed or supervised the service
Type of inspection
Licensed concern (name as on the license, business location and local phone)
Concern's license number (E number) and license type
Certificate of registration (EE) number of the person who serviced
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Set up for California

  • No one may service, charge or test portable fire extinguishers as a business or for a fee without a State Fire Marshal license, with a separate license for each place of business; maintenance, servicing and recharging of required extinguishers are done by licensed concerns with the right manuals, tools, agents and parts, and the concern trades only under the name on its licenseHealth and Safety Code 13163, 13164, 13171, 13190.3 (b)
  • Every person who services, charges or tests a portable fire extinguisher holds a State Fire Marshal certificate of registration (an EE number), shown on request to the State Fire Marshal or a local fire official; new employees of a licensee may work up to 90 days only in the presence and under the direct supervision of a registered personHealth and Safety Code 13175, 13175.1, 13184
  • The annual maintenance tag gives the concern's name as listed on the license, its business location and a valid local telephone number19 CCR 596.1 (a) (2), (3), (10) (OSFM Fire Extinguisher Law & Regulations)

Also required in California

These rules are about how and when you report, not the template's fields. Check them before you deliver.

  • Every person who services, charges or tests a portable extinguisher affixes a tag with the date and their signature. The State Fire Marshal approved annual maintenance tag (not red, about 4 3/4 by 2 3/8 inches) carries, machine printed on one side, "Do Not Remove by Order of the State Fire Marshal" at the top, the concern name and business location, the E number and license type, the service/new extinguisher block, the date, the EE number with space for the individual's number, the Seal of Registration, a signature line and a local phone; on the day of service the date, EE number and signature are written in (no rubber stamp)Health and Safety Code 13183 · 19 CCR 576.1, 596.1 (a), (b), 596.2, 596.5 (OSFM Fire Extinguisher Law & Regulations, January 2022 edition)
  • An extinguisher repaired, converted or altered against the rules is removed from service and tagged with a red tag reading "Condemned" on each face, then destroyed by or at the direction of the owner; obsolete types (soda acid, chemical foam other than AFFF and FFFP, vaporizing liquid, cartridge-operated water and loaded stream, soldered or riveted copper or brass shells and others listed) are removed from service; a unit permanently removed from service gets no maintenance tag, and no tag goes on unless the service was actually done or supervised by the person tagging it19 CCR 577.1, 577.2, 596.6 (OSFM Fire Extinguisher Law & Regulations)
  • The owner or occupant is responsible for inspection, maintenance and recharging of the extinguishers, keeps records of all extinguishers inspected (including those needing corrective action) until the next required maintenance, and records at least monthly the inspection date and the inspector's initials on a tag, a checklist or an electronic systemHealth and Safety Code 13190.3 (a) · 19 CCR 574.5 (OSFM Fire Extinguisher Law & Regulations)
  • A unit that had an internal examination or was recharged gets a verification of service collar (E number, month and year, EE number, signature, concern name), trapped under the valve; low-pressure units passing a hydrostatic test get a hydrostatic test label with the concern, E number, any DOT RIN, month and year, and test pressure; after annual maintenance a safety pin held by a seal is installed, and units taken away for service are replaced with suitable ones of at least equal rating19 CCR 575.10, 575.11, 596 (c), (d), 596.1 (c), (d), 596.3 (OSFM Fire Extinguisher Law & Regulations)
  • The State Fire Marshal's extinguisher rules apply uniformly statewide (no inconsistent local rules, and no special local fee beyond an ordinary business license), and each violation is a misdemeanor punishable by a fine of up to one thousand dollars, up to six months in jail, or both, with each day a separate offenseHealth and Safety Code 13161, 13190, 13190.4

What is in it

  • Extinguishers inspectedLocation, Type and size, Serial or ID, Result, Last annual maintenance, Last hydrostatic test
  • Inspection items (all units)In its designated place, Visible, unobstructed and mounted (sign where needed), Pressure gauge in the operable range, Safety pin and tamper seal intact, No damage, corrosion or leakage; hose and nozzle clear, Operating instructions legible and facing out, Full (weighed or hefted), Inspection tag present and up to date
  • Service performedWhat was recharged, replaced, serviced, tested or removed from service, and any loaner or spare left in place.
  • Follow-upWhat still needs doing and when: units to service, recharge or replace, and the next inspection or test dates.
  • Service by serial numberSerial number, Service performed, Tag, collar or label attached

Rules last reviewed October 15, 2026. Read the full California fire extinguisher inspection report requirements.