Broadland Weekly Fire Panel/System Inspection

• Site conducted

  Select

• Site name

• Conducted on

  Date

• Prepared by

• Location

• Scheme Type

  General Needs

  Housing with Care

  Sheltered

  Other

• Weekly Flush Required and carried out at this visit

  Yes

  No

  N/A

Fire Panel (Weekly Check)

• Is a Fire Panel Check required?

  Yes

  No

• Complete Fire Panel Weekly Check section

• Is the Fire Panel working correctly?

  Compliant

  Broadly Compliant

  Non Compliant

• Did you carry out a functional test of the Fire Alarm? If NO state why in notes section of question.

  Yes

  No

  N/A

• If functional test carried out did the Fire Alarm operate correctly and as expected?

  Compliant

  Broadly Compliant

  Non Compliant

• Provide details of fault

• Reported on FRA Maintenance Works and Customer Services as urgent if alarm is not fully functioning.

General Safety - Immediate Area Only

• Is the area free from hazards?

  Yes

  No

• Record as hazard in section below and provide risk rating, report required action to Customer Services as necessary

Compliance - IDENTIFIED RISKS and/or HAZARDS

• Have risks and/or hazards been identified?

  Yes

  No

• What is the risk rating?

  Select High Risk - Urgent Action Required Medium Risk - Action Required Low Risk - Monitoring Required (Potential Hazard)

  • High Risk - Urgent Action Required
  • Medium Risk - Action Required
  • Low Risk - Monitoring Required (Potential Hazard)

• Add the required action or action taken using the ACTION box. You must give the action the same priority rating. Add photos as required.

Signature

• Add signature

  Sign