Culligan Weekly Emergency Preparedness Checklist

• Facillity

  Select

• Area/ Zone

• Conducted on

  Date

• Personnel

Alarm

• Is the fire alarm operational?

  Yes

  No

• Has this week's break glass and system test been completed?

  Yes

  No

Fire Equipment

• Are fire doors intact, closed and operational?

  Yes

  No

• Are Fire extinguishers/blankets complete and in place?

  Yes

  No

• Are Fire extinguishers' annual inspections in-date?

  Yes

  No

• Does this inspection zone have sprinklers?

  Yes

  No

• Have the sprinkler pumps been checked?

  Yes

  No

• Has the water container been checked?

  Yes

  No

Access and Egress

• Are fire exits clear?

  Yes

  No

• Are fire routes clear?

  Yes

  No

Smoking Area

• Is the smoking area clear and tidy?

  Yes

  No

Signage

• Is the evacuation plan on display and clear?

  Yes

  No

• Are there suitable evacuation route signs displayed and clear?

  Yes

  No

• Is the list of Fire Wardens up to date?

  Yes

  No

• Are fire safety signs adequate? e.g. Flammable chemical sign

  Yes

  No

• Are the first aid kits present?

  Yes

  No

• Are the first aid kit contents in date?

  Yes

  No

• Is the list of first aiders up to date?

  Yes

  No

• Is there a defibrillator on site?

  Yes

  No

• Is the battery operational? (green light flashing)

  Yes

  No

• Are the pads in date?

  Yes

  No

• Are there spill kits on site?

  Yes

  No

• Are the spill kits complete?

  Yes

  No

• Is the list of the spill team up to date?

  Yes

  No

Summary and Signoff

• Name and signature of inspector

  Sign