Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Smoke Alarms
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Number of bedrooms in property
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Number of smoke alarms located in the property
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All smoke alarms hardwired
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All smoke alarms in date
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Smoke alarms in all bedrooms
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Earliest expiry date of smoke alarms
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Heat detector in the kitchen
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Carbon monoxide alarms present in areas with gas appliances and fires
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Carbon monoxide alarms hard wired
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Earliest expiry date of carbon monoxide alarms
Electrical
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Evidence of PAT testing
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PAT testing expiry date
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Evidence of an up to date EICR in place. The next test date should be displayed on the consumer unit
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Next EICR inspection date
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Emergency lighting provided
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Type of emergency lighting
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If emergency lighting is portable, where is it located
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Portable emergency lighting tested and working
Heating System
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Fuel supply type
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Aga in kitchen
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Does boiler display last inspection date
Fire Precautions
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Number of exits
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Thumb turn locks on escape doors
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Fire blanket
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Fire extinguisher
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Fire extinguisher in date and pressurised
Fires, chimneys & flues
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Type of fire
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Fire guard for open fires
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Carbon monoxide detector within 3 meters of fire or gas appliances
Guidebook
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Location of stopcock, fuse board and gas shut off (where applicable) detailed in house guidebook
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Fire risk assessment detailed in guidebook
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Date fire risk assessment carried out
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Date of fire risk assessment review
