Title Page
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Client / Site
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Conducted on
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Prepared by
LDO Management Office 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
The Body Shop 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
Levi's 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
Converse 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
Hair Focus 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
Denby 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
Pro Cook 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
Treatz 22:00
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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
Auditor Name and Signature
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Auditor Name and Signature