Information

  • Tenant / Site

  • Conducted on

  • Prepared by

  • Location

Conditions & Services

Fire Protection Systems

  • Is a Service Provider regularly testing and maintaining the following components to the relevant Service Agreement and appropriate State legislation:

  • A - Portable Fire Extinguishers

  • B - Fire Hose Reels

  • C - Fire Doors

  • D - Fire Alarm System

  • E - Fire Sprinkler System

  • F - Early Warning Intercommunication System (EWIS)

  • G - Emergency Lighting & Exit Signs

  • H - Are Fire Cupboards (fire hose reel storage, etc) clean and free from stored materials and rubbish?

  • I - Are Portable Fire Extinguishers and Fire Hose Reels marked with a location and identification marker?

Carparking

  • Is a condition of entry sign available?

  • Is there a traffic management plan available?

  • Are speed signs within carpark?

  • Are kerbs in good condition?

  • Is there a disability park?

  • Is line marking clear?

  • Evidence of potholes?

  • Are large trees located near carpark?

  • Is there a pedestrian crossing?

  • Is there adequate lighting in the carpark?

Airconditioning

  • Is a contractor completing routine inspection/repairs

  • Split System

  • Ducted System (HVAC)

  • Outdoor condenser units

Emergency Management

  • 1. Is the emergency evacuation plan clearly displayed in all areas?

  • 2. Are ALL Fire Doors operational?

  • 3. Are assembly areas allocated?

  • 4. Has a practice drill occurred in the last six months?

  • 5. Are the means of escape paths and emergency exits clear?

Electrical (equipment only)

  • 1. Is a Service Provider regularly testing plug in electrical equipment and Residual Current Devices?

  • 2. Are power points being used appropriately (i.e no multiboards, double adaptors, etc)

  • 3. Is there a Safety Switch installed

  • 4. Condition of power board

Hazardous Substances

  • 1. Are there any hazardous materials or dangerous goods present on site?

  • 2. Are the materials or goods stored correctly?

  • 3. Are Material Safety Data Sheets (MSDS) available for all dangerous goods?

Interior Environment

  • 1. Are floors and surfaces in good condition?

  • 2. Are stairways and aisles kept clear and useable?

  • 3. Are lighting levels satisfactory?

  • 4. Is the general presentation and cleanliness satisfactory?

  • 5. Are toilets clean and adequately stocked with supplies?

  • 6. Are the kitchen/tea rooms clean?

  • 7. Is the line marking & signage adequate in the car park area?

Exterior Environment

  • 1. Are exterior walls and surfaces clean and in good repair?

  • 2. Are paths and external stairs in good condition?

  • 3. Are parking areas clean & tidy?

  • 4. Are driveways clear and free of hazards?

  • 5. Are landscaped areas well presented & free from rubbish?

General

  • 1. Are all restricted access areas locked?

Plant & Equipment

  • 1. Are all access ladders and stairways in good condition?

  • 2. Are ALL plant rooms neat and tidy, free from debris and trip hazards?

Other Hazards

  • Please make a note of any hazards not already identified in this report.

General Comment

  • Please make a note of any issues not already identified in this report.

Environmental

  • Has the back flow device been tested?

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.