Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
1 Base building
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1.1 Is street number clearly visible ?
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External building photos
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Access photo
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1.5 Are asbestos warning stickers visible?
2 Means of escape
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2.1 Are evacuation routes clear of obstructions ?
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2.2 is door hardware correct type? (Single lever style handle)
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2.3 Are exit doors unlocked?
3. Evacuation diagrams
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3.1 Are evacuation diagrams on display?
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3.2 Are diagrams securely fastened and correctly orientated?
4. Exit signs and emergency lighting
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4.1 Is there illuminated exit signage or emergency lighting installed?
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4.2 Are non illuminated exit signs in place?
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4.3 Can maintenance records be viewed? ( logbook)
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4.4 Are exit signs/emergency lights functioning and undamaged?
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Number of exit/emergency lights
5 First response fire fighting equipment
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5.1 Types of fire fighting equipment installed
- Fire extinguisher
- Hose reels
- Fire blankets
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5.2 Is equipment unobstructed?
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5.3 Has equipment been serviced in last 6 months?
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5.4 Are tags visible? (Should have yellow metal tag)
6 Smoke alarms
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6.1 Are smoke alarms installed?
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Smoke alarm photo