Information

  • Location
  • Conducted on

  • Prepared by

  • Personnel involved

EXITS

  • Are egress routes and exits clear & unobstructed? If YES, skip to next category.

  • If exits are obstructed, have alternate exits been established?

  • If alternate exits have been established, are personnel in the area informed and aware of their relocation and existence?

  • Are all exits clearly identified and visible in the event of an emergency?

  • Are evacuation routes posted?

EDUCATION/TRAINING

  • Are written procedures and guidelines posted in the immediate area for what to do and who to call in the event of a fire or emergency?

  • Are personnel in the immediate area aware and informed regarding procedures to follow in the event of fire of emergency?

FIRE ALARM, DETECTION AND SUPPRESSION FEATURES

  • Is the fire alarm system operational?

  • Is the fire sprinkler system operational?

  • If the existing fire alarm or sprinkler system is impaired, have measures been taken to provide equivalent systems for adequate protection?

  • Are the temporary fire alarm or sprinkler systems being inspected and tested monthly?

  • Are personnel in the area aware and informed on how to use the temporary fire alarm and or sprinkler system?

COMPARTMENTATION FEATURES

  • Are there unprotected penetrations and/or openings in any smoke or fire barrier?

  • Are there any door latching problems?

  • Are self closing devices operational?

  • Are fire and/or smoke dampers operational?

MISCELLANEOUS

  • Are temporary construction partitions smoke tight and non combustible?

  • Are storage, waste and debris areas being maintained to minimize potential for fire or safety hazards?

  • Are portable fire extingquishers (fully charged w/ current inspection stickers) readily available?

  • If there is hot work, do workers have hot work permit?

  • Do electrical panels, temporary wiring, extension cords, tools and equipment appear to be installed, utilized and functioning in a safe manner?

  • In general, are the construction site, building and grounds free of hazards and potential safety violations?

  • Are hand and safety rails in place and maintained in good condition?

  • Are SDS readily available for any hazardous chemicals that are present or being used?

  • Do ladders and scaffolds appear to be in satisfactory condition and used in a safe manner?

  • If required, is personal protective equipment (PPE) being used?

  • If electrical equipment needs to be deenergized, are applicable lockout/tagout procedures being followed?

  • Additional Comments

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.