CCRCVFD Home Fire Safety Inspection

• Address
  Address

• Conducted on

  Date

• Personnel

• Prepared by

The Building

• Number of Floors

  1

  2

  3

  4

• Floor area: (per floor)

• Brief details of construction:

• Pictures

  Media

The occupants

• Maximum number of occupants:

• Pictures

  Media

Occupants at special risk

• Young Children:

• Disabled occupants:

• Pictures

  Media

Electrical sources of ignition

• Are reasonable measures taken to prevent fires of electrical origin?

  Yes

  No

  N/A

• Is the fixed wiring installation periodically tested and inspected?

  Yes

  No

  N/A

• Are portable appliances tested/inspected?

  Yes

  No

  N/A

• Comments and hazards observed:

• Pictures

  Media

Smoking

• Are reasonable measures taken to prevent fires as a result of smoking?

  Yes

  No

  N/A

• Are there suitable arrangements made for those who wish to smoke?

  Yes

  No

  N/A

• Comments and hazards observed:

• Pictures

  Media

Portable heaters and heating installation

• Is the use of portable heater avoided as far as reasonably practicable?

  Yes

  No

  N/A

• If portable heaters are used, are the more hazardous types (radiant bars and LPG) avoided?

  Yes

  No

  N/A

• If portable heaters are used are suitable measures taken to minimise the risk of ignition of combustible materials?

  Yes

  No

  N/A

• Are fixed heating installations subject to regular maintenance?

  Yes

  No

  N/A

• Comments and hazards observed:

• Pictures

  Media

Cooking

• Are reasonable measures taken to prevent cooking fires?

  Yes

  No

  N/A

• Are filters changed and ductwork cleaned regularly?

  Yes

  No

  N/A

• Are suitable extinguishers available?

  Yes

  No

  N/A

• Comments and hazards observed:

• Pictures

  Media

Other significant ignition sources that warrant consideration

• List other ignition sources:

• Comments and hazards observed:

• Pictures

  Media

Housekeeping

• Is the standard of housekeeping adequate?

  Yes

  No

  N/A

• Are combustible materials separated from ignition sources?

  Yes

  No

  N/A

• Is the unnecessary accumulation of combustibles and waste avoided?

  Yes

  No

  N/A

• Is there appropriate storage of hazardous materials?

  Yes

  No

  N/A

• Are combustible materials stored appropriately?

  Yes

  No

  N/A

• Comments and hazards observed:

• Pictures

  Media

Means of escape from fire

• Is the building provided with adequate means of escape in case of fire?

  Yes

  No

  N/A

• Pictures

  Media

Measures to limit fire spread and development.

• Is there a sufficient standard of compartmentalisation?

  Yes

  No

  N/A

• Comments and observations:

• Pictures

  Media

Means of giving warning in the event of fire

• Is automatic fire detection provided?

  Yes

  No

  N/A

• Is there remote transmission of alarm signals?

  Yes

  No

  N/A

• Comments and observations:

• Pictures

  Media

Manual fire extinguishing appliances

• Is there suitable and sufficient provision of portable fire extinguishers?

  Yes

  No

  N/A

• Comments and observations:

• Pictures

  Media

Inspector Information

• Preplan

  Drawing

• Correction Time

• Received by:

  Sign

• Inspector:

• Certification No.

• Inspector Signature

  Sign

• Pictures

  Media