Kansas fire extinguisher inspection report template

Set up for Kansas

• No business may inspect, install or service portable fire extinguishers without certification by the State Fire Marshal; the registration certificate lists the classes it may perform (Class RB for portable extinguishers), and the certification is void if the person whose qualifications it rests on leavesK.S.A. 31-133a (a), (b) · K.A.R. 22-10-3 (a), (b)
• Every inspection, service, recharge or installation of portable extinguishers includes a checklist or invoice, the original left with a business representative at the time, showing the business name and location, the date, the starting and ending time of the work, the name of the person who did it, the certificate holder's name, address and certificate number, the signature of a business representative, a statement that it is kept for inspection by a deputy state fire marshal or local fire inspector, and a summary of the number and types of extinguishers serviced and the type of serviceK.A.R. 22-10-19 (c)
• The checklist or invoice gives the ending time of the workK.A.R. 22-10-19 (c) (3)
• A representative of the business signs the checklist or invoiceK.A.R. 22-10-19 (c) (6)

Also required in Kansas

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

• The certificate holder keeps a copy of each checklist for at least 24 months, open to inspection on demand by a deputy state fire marshal during normal business hoursK.A.R. 22-10-19 (c)
• A new service tag goes on each extinguisher where it is easy to inspect, with the firm's business name and address, the registration certificate class and number, the type of service, the date, "do not remove by order of the state fire marshal", the service person's signature and the type of extinguisher, all on one side; tags are about 2 1/2 inches wide and no more than 5 1/2 inches long, and no one may remove one except to perform further service, or deface or alter itK.A.R. 22-10-9
• Six-year maintenance and low-pressure hydrostatic tests are each recorded on a mylar decal no larger than 1.5 by 2.5 inches on the shell (year and month, firm, initials, and for the test, the test pressure), replacing the old one; each time a stored pressure extinguisher is opened, a white or yellow internal service label with the firm's certificate number, month and year and initials goes around the siphon tube within 1 inch of the top (carbon dioxide, halogenated, cartridge-operated dry chemical and water types are exempt)K.A.R. 22-10-19 (d) to (f)
• A Class RB holder services portable extinguishers under the Kansas Fire Prevention Code, the national standards it adopts and the manufacturer's specifications; extinguishers must carry a recognized testing laboratory's label to be sold, leased or installed, carbon tetrachloride extinguishers may not be serviced, and approved portable extinguishers are kept fully charged, operable and in their placesK.A.R. 22-10-7, 22-10-8, 22-10-15, 22-10-19 (a)

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.

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