---
title: "Fire Extinguisher Refilling Certificate Format: Free Word"
description: "Fire extinguisher refilling certificate format: client, cylinders by serial number, type, capacity, refill and test dates, next due and signature. Word file."
url: https://servicepilot.in/blog/fire-safety/fire-extinguisher-refilling-certificate-format/
canonical: https://servicepilot.in/blog/fire-safety/fire-extinguisher-refilling-certificate-format/
site: ServicePilot
section: Blog articles
updated: 2026-10-30
keywords: "fire extinguisher refilling certificate format"
language: en-IN
---

Fire Safety

# Fire Extinguisher Refilling Certificate Format

By the ServicePilot Team · Published 30-10-2026

Fire extinguisher refilling certificate format in Word

Photo by [Tak Kei Wong](https://unsplash.com/photos/red-fire-extinguisher-on-gray-wall-PWOV__8cRpw?utm_source=servicepilot.in&utm_medium=referral) on [Unsplash](https://unsplash.com/?utm_source=servicepilot.in&utm_medium=referral) A fire extinguisher refilling certificate format lists the client and site, then each cylinder refilled with serial number, type, capacity, location, refill date, pressure test date if done, next refill due and next test due, followed by your company details and the authorised signature. Issue it after every refill job; clients keep it for fire audits and insurance.

[Download the editable Word format Word document (.doc) · 1 KB · free to edit Download](https://servicepilot.in/downloads/fire-extinguisher-refilling-certificate.doc) 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](https://servicepilot.in/blog/fire-safety/fire-extinguisher-inspection-tag-format/) 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](https://servicepilot.in/features/amc-contracts/) visit. See the [inspection checklist](https://servicepilot.in/blog/fire-safety/fire-extinguisher-inspection-checklist/) and [how to start a refilling business](https://servicepilot.in/blog/fire-safety/fire-extinguisher-refilling-business/).

[In ServicePilot See fire extinguisher AMC software in ServicePilot How ServicePilot handles this for your business, with a free demo.](https://servicepilot.in/industries/fire-safety/)

Frequently asked questions

## Questions people ask

**Q: Why do clients need a refilling certificate?**
A: Fire audits, the local fire authority and insurers ask for proof that extinguishers were refilled and tested on time.

**Q: Should every cylinder be listed?**
A: Yes, by serial number, so the certificate matches the tags on the cylinders.

**Q: Should the certificate mention the standard?**
A: Mention that work was done as per the applicable standard and manufacturer instructions, without claiming approvals you do not hold.

**Q: Can it be issued with the invoice?**
A: Yes. Many firms send both together; the client's accounts team often needs the certificate to pay.

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