Title Page
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Document No.
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Area/ Zone
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Conducted on
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Personnel
Fire and Emergency Checks
Alarm
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Is the fire alarm operational?
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Has this week's break glass and system test been completed?
Fire Equipment
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Are fire doors intact, closed and operational?
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Are Fire extinguishers/blankets complete and in place?
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Are Fire extinguishers' annual inspections in-date?
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Does this inspection zone have sprinklers?
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Have the sprinkler pumps been checked?
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Has the water container been checked?
Access and Egress
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Are fire exits clear?
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Are fire routes clear?
Smoking Area
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Is the smoking area clear and tidy?
Signage
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Is the evacuation plan on display and clear?
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Are there suitable evacuation route signs displayed and clear?
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Is the list of Fire Wardens up to date?
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Are fire safety signs adequate? e.g. Flammable chemical sign
Summary and Signoff
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Name and signature of inspector