Title Page

  • Site conducted

  • Assessment No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Neighbourhood

  • Is the property in a residential area with a low crime rate?

  • Do other employees live nearby?

  • Is the police and fire protection adequate and within a ten minute response time?<br>

  • Are there alternate routes to and from the dwelling?

Property Type

  • Is the property a Stand Alone House?

  • External Picture of the House

House Entrance

  • Is there adequate lighting in fromt of the house?

  • Are all lights working at sufficient height to prevent tampering?

  • Is there a solid fence separating the house from public access?

  • Is there a sold gate at the entrance to the property which is easy for the resident to enter?

  • Have hiding places near doors, windows, and garage or parking areas been illuminated or eliminated?<br>

  • Is there a security Guard on site?

  • How many hours per day?

House Exterior and Rear Yard

  • Does the House have a Rear Yard?

  • Is the rear yard secured by a fence at an adequate height to deter intruders?

  • Are there any poles, boxes, trees, or out-houses that would help an intruder scale your wall or fence?<br>

  • Is there external gates in the rear yard?

  • Are these gates locked at all times?

  • Do residents have keys for this gate?

  • Are the exterior lights adequate to illuminate the grounds, <br> particularly around gates and doors?<br>

  • Is the property an Apartment?

General Building

Building Entry

  • Is there adequate lighting in front of the building?

  • Are all lights working at sufficient height to prevent tampering?

  • Have hiding places near doors, windows, and garage or parking areas been illuminated or eliminated?

  • Are the public areas of the building controlled and well lit?

  • Are the lobby and elevator visible from the street?

  • Are secondary entrances to the building and parking area controlled? <br>

  • How many floors in the building?

  • Is there a security guard on site?

  • How many hours per day?

Building Exterior

  • Does the building have and exterior area on the Ground Floor, or services area?

  • Is the area secured by a fence at an adequate height to deter intruders?

  • Are there any poles, boxes, trees, or out-houses that would help an intruder scale your wall or fence?<br>

  • Is there external gates in this area?

  • Are these gates locked at all times?

  • Do residents have keys for this gate?

  • Are the exterior lights adequate to illuminate the grounds, particularly around gates and doors? <br>

Building General

  • Is the building fitted with a fire alarm system?

  • Is the fire alarm system fully operational?

  • Is the fire alarm system tested monthly and serviced 6 monthly?

  • Is the fire alarm panel accessable?

  • Are there manual call points or break glass alarms fitted to the fire alarm system?

  • Is there adequate signage installed?

  • Is the building fitted with a sprinkler system?

  • Are sprinkler heads correctly installed in all parts of the building?

  • Is their pressure switches connected to the fire alarm system?

  • Is the sprinkler system serviced 6 monthly?

  • Is the building fitted with a fire hydrant system?

  • Is the system pressurised?

  • Are their adequate hydrants on each floor?

  • Are their fire hoses and nozzles at each hydrant?

  • Is the building fitted with a fire pump?

  • What is the capacity of the fire pump?

  • Is there a storage tank for fire water?

  • What is the fire water storage capacity?

  • Is the fire pump started monthly?

  • Is the fire pump serviced 6 monthly?

  • Is the building fitted with hose reels?

  • Is there an adequate number per floor?

  • Is there adequate signage?

  • Is the building fitted with fire extinguishers?

  • Are the fire extinguishers appropriate type?

  • Are the fire extinguishers in serviceable condition?

  • Are the fire extinguishers serviced 6 monthly?

  • Are the fire extinguishers appropriately mounted between 0.8m and 1.2m?

  • Is their adequate fire extinguisher signage?

  • Does the building have emergency exit stairwells?

  • Is there a secondary exit stairwell?

  • Is the stairwells fire and smoke isolated with fire rated doors?

  • Are the doors unlocked or fitted with emergency push bars?

  • Do the stairwells lead to an external exit?

  • Is the building fitted with emergency lighting?

  • Is it all currently working?

  • Is it tested 6 monthly?

  • Is the building fitted with exit signs and lights?

  • Are they all currently working?

  • Are they serviced 6 monthly?

  • Are all exit pathways and stairwells clear of obstacles?

  • Does the building have emergency evacuation plans clearly visible throughout the building?

  • Is their dedicated emergency assembly points?

  • Does the building have an emergency generator?

  • Is it serviced and tested regularly?

  • Is there any fire protection in the generator?

  • Does the building have CCTV system?

  • Is it recorded and remotely accessable?

  • Does the resident have access to the footage?

  • Does the building have any additional fire protection of firefighting systems?

Apartment

  • What floor is the Residents Apartment located on?

  • How many Apartments on this floor?

  • Are there more than one exit route from this floor?

Gas Cylinder Storage

  • Is there Gas Cylinders stored on site?

  • How Many Gas Cylinders are on site?

  • Are the Gas Cylinders Properly Secured?

  • Are the gas cylinders located on level ground away from any heat or flame source?

  • Do the Gas Cylinders appear in good Condition?

  • Do the Gas Hoses and Fittings appear in good condition?

  • Are the gas hoses and fittings made from appropriate materials? <br>HOSE CLAMPS AND RUBBER TUBING ARE NOT ACCEPTABLE.

  • Is the Hose Assembly as short as practicable?<br>Less than 1.2m

  • Is there a good quality regulator fitted to the gas cylinder?

  • Are all conection tight and secure?

  • Is there any visual or audible leaks in the gas system?

  • Is there any test dates or certification visible on Gas Cylinders?

  • Is there any gas appliances installed outside such as BBQ?

  • Is this appliance designed for outdoor use?

  • Has Gas Safety Signage been installed?<br>HAZCHEM, NO SMOKING, NO NAKED FLAME

  • Is there a fire extinguisher located near to where the gas cylinders are stored?

Swimming Pool

  • Does the property have a swimming pool or any other body of water deeper than 300mm?

  • Is it fitted with a pool fence at least 1200mm high that cannot be climbed by children?

  • Is there self closing gates fitted with latches above 1200mm?

  • Is there lifesaving equipment on site?

  • Is their a CPR Resuscitation sign on site with clear instruction in English and Khmer?

  • Does the pool appear clean and in a suitable condition for swimming in?

House/Apartment Interior

Doors and Windows

  • Are the exterior doors of solid wood or metal construction?

  • Are locks on the exterior doors of the cylinder type?

  • Are locks on exterior doors dead lock style and jimmy-proof?

  • Can any of the door locks be opened by breaking a glass or thin wood panel next to the lock?<br>

  • Can all the doors, including those on the porch, balcony, <br> basement, terrace, and roof, be locked securely?<br>

  • Are all of the locks in working order?

  • Are all of the doors kept locked when not in use?

  • Are all of the keys accounted for and available in the case of an emergency?

  • Are the exterior hinges protected?

  • Does anyone, other than the immediate family, have a key to the residence (e.g. previous tenants, owners, servants, friends)?<br>

  • Are all locks securely mounted and tamper proof?

  • Do you lock your padlocks in place when the doors are unlocked (garage, storage room, unused servants' quarters, etc.)?<br>

  • Do you hide a spare key to your main entrance under a doormat, flower pot, or some other nearby, obvious location?<br>

  • Is there a peephole, electronic doorman or interview grille fitted in the main door?

  • Do you answer the door partially dressed, or without checking who has knocked or rung the bell?

  • Are all external windows protected with locks?

  • Are all external windows protected with properly installed bars?

  • Are all windows securely installed?

  • Can window locks be unlocked by breaking the glass?

  • Do you keep all windows locked when they are shut?

  • Do you secure sliding windows with a rod or charlie bar?

  • Have emergency escape hatches been incorparated into the bars on at least one window?

  • Are all glass doors secured with a security door or grill?

Kitchen

  • Is there gas cooking appliances in the kitchen?

  • Are there gas bottles located in the kitchen?

  • Does the gas appliance have any form of compliance plate?

  • Is the appliance designed for use with LPG?

  • Does the gas appliance appear to be properly installed?

  • Is the gas appliance designed for indoor use?

  • Do Gas Hoses and fittings appear in good condition?

  • Are the gas hoses and fittings made from appropriate materials? <br>HOSE CLAMPS AND RUBBER TUBING ARE NOT ACCEPTABLE.

  • Can any electrical supply to any gas appliances be easily isolated?

  • Is there adequate space between the gas appliances and flamable materials such as furniture or fittings?

  • Is there an exhaust fan or other ventilation near the gas appliance?

  • Is there a fire extinguisher in the kitchen?

  • Is the fire extinguisher in serviceable condition?

  • Has the fire extinguisher been serviced in the past 6 months?

  • Is there a fire blanket in the kitchen?

  • Is there a heat detector fitted in the kitchen?

Other Rooms

  • Rooms

  • Room
  • Room Name

  • Is there a fire extinguisher in the room?

  • Is the fire extinguisher in a serviceable condition?

  • Has the fire extinguisher been serviced in the last 6 months?

  • Is the fire extinguisher correctly mounted between .8m and 1.2m?

  • Is there a smoke detector fitted in the room?

  • What type of smoke detector is fitted?

  • Are smoke detector tested 6 monthly?

  • Does this room have a balcony?

  • Does this room have an external exit?

  • Is there any other safety and secuirty issues in this room?

Balconies

  • Are the balcony or other apartment windows accessible from another balcony, ledge, roof, or window?<br>

  • Are the balcony rails higher than 1m?

House/Apartment General

  • Is there a security alarm system fitted inside the dwelling?

  • Does the alarm have an external alerting device, such as a bell or siren?

  • Is the alarm linked by transmitter to a central monitor station?

  • Does the system have panic buttons placed at strategic locations around the residence?

  • Is the alarm regularly serviced and tested?

  • Are there security cameras installed inside the dwelling?

  • Is there a first aid kit in the dwelling?

  • Do all residents and domestic staff know how to operate a fire extinguisher?

  • Does the dwelling have an operational emergency radio, including an outside antenna?<br>

  • Do the occupants, including older children and domestic employees, know how to use the radio?<br>

  • Are emergency phone numbers (fire, police, ambulance) kept near the telephone?<br>

  • Has a background check and health check been conducted on domestic employees?

  • Have children and employees been briefed on security requirements, such as locking windows and doors, not admitting strangers, and not accepting packages?<br>

  • Do you keep cash and small valuables in a safe storage place?

  • Do you have a list of the serial numbers of your watches, cameras, electronics, computers, stereo, etc.? <br>

  • Do you have an accurate description (with photographs) of all valuable property which does not have serial numbers?<br>

  • Do you keep an inventory of all valuable property?

  • Do you avoid unnecessary display of your valuable items?

  • Have you given your family and domestic staff instructions on what to do if they discover an intruder is attempting to break in or is already in the house?<br>

  • Have you told your family and domestic staff to leave the house undisturbed and call the police if they find a burglary has been committed?<br>

  • Have you saved the number for emergency services in every phone in the house?

  • Do you know how to report a fire and your dwelling location in Khmer language?<br>

  • Do you and your family have an emergency escape plan with alternate emergency escape routes? <br>

  • Have you practiced this emergency plan?

  • Have you instructed your staff regarding the admission of strangers and the need to verify the authenticity of their credentials?<br>

  • Are you, your family, and servants alert regarding strange vehicles or persons who may have you under surveillance or may be watching your residence for a future burglary?<br>

  • Are there any firearms or other weapons in the dwelling?

  • Are all residents trained to use it?

  • Is it safely stored out of reach of children?

  • Is the dwelling fitted with an internal shelter?

Garage

  • Is the garage secured at all times?

  • Is there access to tools that may be used to foece entry into your dwelling?

Vehicles belonging to the Residence

  • Are there any vehicle belonging to the residents?

  • Vehicle
  • Vehicle Type

  • Is the vehicle kept locked at all times?

  • Is there a fire extinguisher fitted in the behicle?

  • Is there a first aid kit fitted in the vehicle?

  • Is the vehicle fitted with front and rear dashcams?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.