Title Page
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Client / Site
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Conducted on
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Prepared by
Opa Bakery 07:30
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Wentzel's 08:00
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Calvin Klein 08:30
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Tommy Hilfiger 08:45
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Police 09:15
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Clarks 09:30
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Zwilling 09:40
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Villeroy & Boch 09:45
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Clair's Accessories 09:50
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Bhavi Beauty 09:55
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
News point 10:00
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Fire Test Conducted
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Reason for fail?
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Fire Extinguishers in date and in place
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Fire Escape routes maintained clear
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Unit radio checked and in order
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Unit checked by Security Officer name
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Unit Member of Staff name
Name and Signature
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Name and Signature
