Asset Condition Assessment - Fire Services

• Conducted on

  Date

• Prepared by

• Location
  Address

• Please take sample Image of all equipment for each item as reference.
  Provide List and detail of any failed items.
  
  Nearing end of expected life cycle. - Replace within 1 to 2 years
  1 Critical - Extremely worn or damaged - Replace within the next month - 1 year

• Site Address or Site Name

• Is all areas of this site accessible for inspection

  Yes

  No

  N/A

Fire Services - Hydrants

• Does the Site/Location have Fire a Fire Hydrant System?

  Yes

  No

  N/A

• What date was the last service/Inspection?

  Date

• Is the Block Plan Installed, To standard and Legible?

  Yes

  No

  N/A

• What is the condition of the Condition of Hydrant Pump system?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

• What is the condition of the Hydrant Booster connection?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

• Are all Hydrant Connections points in good condition, with signage and free of obstruction?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

Fire Hose Reels

• Does the site have Fire hose reels?

  Yes

  No

  N/A

• What is the condition of the Internal fire hose reels?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

• Are any Hose Reels located Externally?

  Yes

  No

  N/A

• What is the condition of the externally Located Hose Reels?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

Fire Blankets

• Are their any Fire blankets installed?

  Yes

  No

  N/A

• What are the condition of the Fire Blankets?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

Smoke Detection Systems

• Is there a smoke detection system installed? <br>If so, provide adequate details and images.

  Yes

  No

  N/A

• What is the condition of the Smoke Detection systems?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

Occupant Warning Systems

• Is an EWIS or BOWS or other system installed? <br>please provide image and detail of system

  Yes

  No

  N/A

• What is condition of the System?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

Fire Sprinkler Systems

• Is a Fire Sprinkler system installed? <br>Please provide adequate detail and images

  Yes

  No

  N/A

• What is the condition of the system?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

• What is the condition of the Sprinkler Pump and associated equipment? Provide detail on system installed

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

• What is the condition of the sprinkler piping?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

• When is the 20 year test due?

  Date

• Is there any Valve sets? <br>If so how many?

  Yes

  No

  N/A

• When was the last 3 Yearly Overhaul?

  Date

Fire Doors

• What is the condition of the fire doors?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

• Is their adequate signage on all doors?

  Yes

  No

  N/A

• Is the door hardware operable and appropriate for the installation?

  Yes

  No

  N/A

• Do any of the doors have a potential to contain Asbestos?

  Safe

  At Risk

  N/A

Emergency Lighting

• what is the condition of the emergency lighting system?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

• Does the system have an test switch installed?

  Yes

  No

  N/A

• Is the lighting system adequate and to standard?

  Yes

  No

  N/A

Fire Extinguishers

• Does the site have any Fire Extinguishers? <br>if so please advise numbers and types.

  Yes

  No

  N/A

• What is the General condition of all Extinguishers?

  Select 5 - Excellent 4 - Good 3 - Fair 2 - Poor 1 - Critical N/A

  • 5 - Excellent
  • 4 - Good
  • 3 - Fair
  • 2 - Poor
  • 1 - Critical
  • N/A

• When was the date of the last test on the extinguishers?

  Date

• Are all Extinguisher Signage installed and correct?

  Yes

  No

  N/A