After a refill job, the client needs one document for their fire audit: which cylinders were refilled, when, and when they are next due. This fire extinguisher refilling certificate format lists every cylinder by serial number so it matches the tags. Download the Word file below.

Fire extinguisher refilling certificate format: header

  • Certificate no. and date
  • Client name, site address
  • Work order or job no.

Cylinder table

  • Sr no., serial no., type (ABC, CO2, water, foam, clean agent), capacity
  • Location at site
  • Refill date
  • Pressure test date (if done)
  • Next refill due, next test due
  • Remarks (body condition, replaced valve)

Certification line

This is to certify that the above extinguishers have been refilled [and tested] by [Company] on the dates shown, as per the applicable standard and manufacturer instructions. Next due dates are shown against each cylinder.

Good practice

  • Match every serial number to the inspection tag on the cylinder.
  • Note cylinders found unfit and recommended for replacement.
  • Do not state approvals or licences you do not hold.
  • Send it with the invoice.

Certificates from the record

When every cylinder's dates live in one place, the certificate takes minutes. ServicePilot keeps each site's extinguishers as equipment with their dates and creates the next AMC visit. See the inspection checklist and how to start a refilling business.

In ServicePilotSee fire extinguisher AMC software in ServicePilotHow ServicePilot handles this for your business, with a free demo.