TEMPLATE

Utah fire extinguisher inspection report template

ReportDraft Safety from $12 a month. 14-day free trial with your first report and up to 5 template downloads. Card required, nothing charged today, cancel anytime. Need just one? One fire extinguisher inspection report for $19, no subscription.

Your Utah fire extinguisher inspection report has 8 rules to meet. ReportDraft puts every one on your checklist and checks your draft before you sign.

  • A new tag at every service, with the State Fire Marshal wording
  • Remove the seal each year to check the pull pin
  • A visual inspection every month

A fire extinguisher inspection report template set up for Utah, with fields for the licensed concern (name and address), concern license registration number (E-number), individual who performed or supervised the service and certificate of registration (EE) number of the individual who serviced. In Word and PDF.

See a free preview filled from sample notes

REPORTDRAFT.COM
Utah Fire extinguisher inspection Template
Building or facility
Address
Inspection date
Individual who performed or supervised the service
Type of inspection
Licensed concern (name and address)
Concern license registration number (E-number)
Certificate of registration (EE) number of the individual who serviced
Download in Word or PDFIncluded with ReportDraft Safety and its free trial.

Set up for Utah

  • No person or concern may service portable fire extinguishers without a State Fire Marshal license; each license is identified by an E-number and is renewed every year after a materials, equipment and performance inspectionUtah Admin. Code R710-1-4 (1), (6), (7), (19)
  • Each service tag carries the certificate of registration (EE) number and signature of the individual who performed or supervised the service, both written distinctlyUtah Admin. Code R710-1-7 (3) (a) (v), (vi), (4)
  • Each service tag shows, on one side, the type of license, the State Fire Marshal's Seal of Registration, the concern's E-number, name and address, the type of service, the type of extinguisher and the date, with the date and service marked by perforationsUtah Admin. Code R710-1-7 (3), (4); R710-1-6 (3)

Also required in Utah

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

  • A new service tag, 4 1/2 to 5 1/2 inches high and 2 1/2 to 3 inches wide, is attached to each extinguisher every time it is serviced, with the words "DO NOT REMOVE, BY ORDER OF THE STATE FIRE MARSHAL" at the top or ring endUtah Admin. Code R710-1-7 (1), (2), (6), (7)
  • Seals or tamper indicators are approved plastic or non-ferrous wire with at most a 14 pound break strength, hold the pull pin locked, and are removed every year to make sure the pull pin is freeUtah Admin. Code R710-1-9 (3); R710-1-4 (20)
  • Extinguishers that do not meet the rules are permanently removed from service and not tagged; one that fails a hydrostatic test is condemned and stamped or etched; others may get a red Condemned or Rejected tag no smaller than a service tagUtah Admin. Code R710-1-7 (9)
  • An extinguisher due for a hydrostatic test is not serviced until it passes; at installation and each annual inspection servicing follows the manufacturer's instructions, the statutes and the rules, leaving it operable with clear nozzles and hoses; a new extinguisher needs no service tag until a year after its manufacture dateUtah Admin. Code R710-1-9 (1), (2), (4)
  • No one may remove, deface or alter a service tag, hydrostatic test tag or label, 6-year maintenance tag or label, or verification of service collar except to replace it when further service is performedUtah Admin. Code R710-1-7 (8)
  • Each business location needs its own license application with proof of public liability insurance of at least 100,000 dollars per incident and 300,000 dollars total, and each location or vehicle where servicing is done keeps the minimum equipment, including approved seals and a copy of NFPA 10 (2010 edition), the statute and the rulesUtah Admin. Code R710-1-4 (2), (20)
  • The state fire marshal regulates the sale and servicing of portable fire extinguishers and automatic fire suppression systemsUtah Code 53-7-204 (effective 2026-05-06)

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, Type of extinguisher, Service performed, Parts replaced

Rules last reviewed October 14, 2026. Read the full Utah fire extinguisher inspection report requirements.