Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

BACK OF HOUSE FIRE CORRIDORS

  • Corridor is free from point of entry to point of exit from any obstruction. Please attach photos

  • Signage is clear and indicates the direction of exit. Please attach photos

  • Fire exit doors are free from damage. Please attach photos

  • Fire exit doors lock. Please attach photos

  • Fire exit sign illuminated. Please attach photos

  • Corridor is well illuminated and all lights are operating. Please attach photos

  • Corridor is free from any wet/dry spills. Please attach photos

  • Corridor is free from any visible hazards. Please attach photos

  • Corridor is free from rubbish. Please attach photos

  • Clear signage advising who to contact in an emergency and location

PLANT ROOMS

  • Doors are free from damage and closes fully. Please attach photos

  • Door locks operating freely. Please attach photos

  • Plant room is well illuminated and all lights are working. Please attach photos

  • Fire exit sign is illuminated., Please attach photos

  • Plant room is free from any obstructions and hazards. Please attach photos

  • Plant room free of rubbish

COMPLETED

  • Date & Time

  • Sign

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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.