Title Page

  • Document No.

  • Area/ Zone

  • Conducted on

  • Personnel

Fire and Emergency Checks

Alarm

  • Is the fire alarm operational?

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

Fire Equipment

  • Are fire doors intact, closed and operational?

  • Are Fire extinguishers/blankets complete and in place?

  • Are Fire extinguishers' annual inspections in-date?

  • Does this inspection zone have sprinklers?

  • Have the sprinkler pumps been checked?

  • Has the water container been checked?

Access and Egress

  • Are fire exits clear?

  • Are fire routes clear?

Smoking Area

  • Is the smoking area clear and tidy?

Signage

  • Is the evacuation plan on display and clear?

  • Are there suitable evacuation route signs displayed and clear?

  • Is the list of Fire Wardens up to date?

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

Summary and Signoff

  • Name and signature of inspector

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