Title Page

  • Conducted on

  • Prepared by

  • Location

Cleaning

  • Where ashtrays or sand buckets are provided, have these been emptied?

  • Have all log burners and fires been cleaned out?

  • Are all fire lighters and matches stored in the appropriate container?

  • Where barbecues and pizza ovens are provided - Have these been cleaned out?

  • Has all rubbish been removed from the property?

  • Has the tumble dryer filter been cleaned?

  • Have all cleaning products been returned to the appropriate place?

Testing

  • Have the smoke alarms been tested and witnessed to be functioning correctly?

  • Location of smoke alarm tested

  • Has the emergency lighting been tested and witnessed to be functioning correctly?

  • Did all linked smoke alarms sound when tested?

  • Have all carbon monoxide alarms been tested and witnessed to be functioning correctly?

  • Location of carbon monoxide alarm(s)

Escape Routes

  • Are all escape routes clear from obstruction?

  • Do all final exit doors open freely?

Fire Equipment

  • Where fire extinguishers are provided, are they in date and pressurised?

  • Is the fire blanket located within the holder and attached to the wall?

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.