Emergency & Resilience - Fire Safety

• WMHHS Site

  Select
Building Name

• Conducted on

  Date

• Prepared by

  Sign
• Location
  Address

Evacuation Routes

• Are evacuation routes clear of obstructions?

  Yes

  No

  Not applicable

  Not assessed

• Are final exits clear of obstructions for two metres?

  Yes

  No

  Not applicable

  Not assessed

• Are the final exits of any adjoining properties clear?

  Select Yes Yes - As far as was reasonable to inspect. Partially No Not assessed Not applicable

  • Yes
  • Yes - As far as was reasonable to inspect.
  • Partially
  • No
  • Not assessed
  • Not applicable

Exit Doors

• Is the door hardware the correct type?

  Yes

  No

  Not applicable

  Not assessed

• Are the doors along the evacuation route unlocked and unobstructed?

  Yes

  No

  Not applicable

  Not assessed

Fire/Smoke Doors and Walls

• Are the fire/smoke doors unobstructed and undamaged?

  Yes

  No

  Not applicable

  Not assessed

• Can current maintenance records for fire/smoke doors be produced upon request

  Yes

  No

• Are fire/smoke walls free from unprotected penetration?

  Select Yes Yes - As far as was reasonable to inspect. Partially No Not assessed Not applicable

  • Yes
  • Yes - As far as was reasonable to inspect.
  • Partially
  • No
  • Not assessed
  • Not applicable

Evacuation Signs/Diagrams - General

• Do the evacuation signs/diagrams contain the required information?

  Yes

  No

  Not applicable

  Not assessed

• Are the evacuation signs/diagrams securely fastened and orientated for the building?

  Yes

  Partially

  No

  Not applicable

Evacuation Signs/Diagrams - Accommodation Units

• Are accommodation unit evacuation sign/s securely fastened and orientated for the building?

  Yes

  Partially

  No

  Not applicable

• Do the evacuation sign/s contain the required information for the accommodation units?

  Yes

  Partially

  No

  Not applicable

Obligations for All Buildings

• Have steps been taken to ensure the building is not overcrowded?

  Yes

  No

  N/A

Obligations for At-Risk Licensed Buildings

• If an occupancy notice has been issued by the commissioner, is the building compliant?

  Yes

  No

  N/A

Exit Signs/Emergency Lighting

• Are the exit signs/emergency lighting undamaged?

  Select Yes Yes - As far as was reasonable to inspect. Partially No Not assessed Not applicable

  • Yes
  • Yes - As far as was reasonable to inspect.
  • Partially
  • No
  • Not assessed
  • Not applicable

• Can current maintenance records for exit signs/emergency lighting be produced upon request?

  Yes

  No

  N/A

Fire Extinguishers

• Are all fire extinguishers correctly maintained?

  Select Yes Yes - As far as was reasonable to inspect. Partially No Not assessed Not applicable

  • Yes
  • Yes - As far as was reasonable to inspect.
  • Partially
  • No
  • Not assessed
  • Not applicable

• Can current maintenance records for fire extinguisher be produced upon request?

  Yes

  No

  N/A

Fire Hose Reels

• Are all fire hose reels correctly maintained?

  Select Yes Yes - As far as was reasonable to inspect. Partially No Not assessed Not applicable

  • Yes
  • Yes - As far as was reasonable to inspect.
  • Partially
  • No
  • Not assessed
  • Not applicable

• Can current maintenance records for fire hose reels be produced upon request?

  Yes

  No

  N/A

Fire Detection and Alarm System

• Is the fire detection and alarm system operating with no isolations or faults indicating?

  Yes

  No

  N/A

• Can current maintenance records for fire detection and alarm systems be produced upon request?

  Yes

  No

  N/A

• Is the fire detection and alarm system connected to QFES?

  Yes

  No

  N/A

• Is the number of unwanted alarm activations below the prescribed average?

  Yes

  No

  N/A

• If a class 2 accommodation building, are smoke alarms installed in the sole occupancy units?

  Yes

  No

  N/A

Evacuation System

• Is the evacuation system in 'auto' mode with no zones isolated or in fault?

  Yes

  No

  N/A

• Can current maintenance records for evacuation systems be produced upon request?

  Yes

  No

  N/A

Sprinkler System

• Is the sprinkler booster installation undamaged?

  Yes

  No

  N/A

• Can current maintenance records for the sprinkler system be produced upon request?

  Yes

  No

  N/A

On-site Hydrant System

• Is the on-site fire hydrant booster installation undamaged?

  Select Yes Yes - As far as was reasonable to inspect. Partially No Not assessed Not applicable

  • Yes
  • Yes - As far as was reasonable to inspect.
  • Partially
  • No
  • Not assessed
  • Not applicable

• Are the on-site fire hydrants undamaged?

  Select Yes Yes - As far as was reasonable to inspect. Partially No Not assessed Not applicable

  • Yes
  • Yes - As far as was reasonable to inspect.
  • Partially
  • No
  • Not assessed
  • Not applicable

• Can current maintenance records for the on-site hydrant system be produced upon request?

  Yes

  No

  N/A

Hydrant/Sprinkler Pump-sets

• Are the hydrant/sprinkler pump-sets correctly maintained?

  Select Yes Yes - As far as was reasonable to inspect. Partially No Not assessed Not applicable

  • Yes
  • Yes - As far as was reasonable to inspect.
  • Partially
  • No
  • Not assessed
  • Not applicable

• Can current maintenance records for pump-sets be produced upon request?

  Yes

  No

  N/A

Stairwell Pressurisation

• Can current maintenance records for Stairwell Pressurisation be produced upon request?

  Yes

  No

  N/A

Smoke and Heat Ventilation Systems

• Can current maintenance records for smoke and heat ventilation systems be produced upon request?

  Yes

  No

  N/A

Standby Power Supply

• Can current maintenance records for standby power be produced upon request?

  Yes

  No

  N/A

Emergency Lift - Fire Service Control

• Has an operational test of the fire service controls been conducted?

  Yes

  No

  N/A

Critical Defects

• If a critical defect notice has been received, has action been taken to rectify within one month?

  Yes

  No

  N/A

• If a critical defect notice has been received, have interim measures been put in place?

  Yes

  No

  N/A

Housekeeping

• Is housekeeping acceptable?

  Good

  Fair

  Poor

  N/A

Fire and Evacuation Plans

• Is there a fire and evacuation plan in place for each building?

  Yes

  No

• Is there a managing entity and secondary occupiers' fire and evacuation plan for multi-occupancy buildings?

  Yes

  No

  N/A

• Are all the fire and evacuation plans kept in the specified form?

  Yes

  No

  N/A

• Do fire and evacuation plans reflect performance solutions?

  Yes

  No

  N/A

• Is there a procedure in place to evacuate persons with special needs?

  Yes

  No

• Are all fire and evacuation plans available upon request?

  Yes

  No

• Are all fire and evacuation plans current and reviewed annually?

  Yes

  No

Fire and Evacuation Instruction

• Have general evacuation instructions been given?

  Yes

  No

• Are records for general evacuation instructions kept and available upon request?

  Yes

  No

• Have first response evacuation instructions been given?

  Yes

  No

• Are records for first response evacuation instructions kept and available upon request?

  Yes

  No

• Have evacuation coordination instructions been given?

  Yes

  No

• Are records for evacuation coordination instructions kept and available upon request?

  Yes

  No

• Has evacuation practice been conducted annually?

  Yes

  No

• Are evacuation practice records kept and available upon request?

  Yes

  No

• Has a fire safety adviser been appointed?

  Yes

  No

  N/A

• Is there a procedure in place to provide 'adequate instruction' to prescribed persons?

  Yes

  No

Approval Documents

• Are approval documents obtained and kept onsite?

  Yes

  No

• Is the 'Certificate of Classification' for the building displayed?

  Yes

  No

  N/A

Occuper Statement (Annual)

• Can an annual occupier statement be produced upon request?

  Yes

  No

Record Security

• Are records kept onsite?

  Select Yes Yes - As far as was reasonable to inspect. Partially No Not assessed Not applicable

  • Yes
  • Yes - As far as was reasonable to inspect.
  • Partially
  • No
  • Not assessed
  • Not applicable

• Is a copy of all prescribed documents kept in another place?

  Yes

  No

Fire Safety Management Plan

• Are current fire safety management plans prepared and implemented?

  Yes

  No

  N/A

• Are fire safety management plans available for inspection during business hours?

  Yes

  No

  N/A

• Can evacuation practice records be produced upon request?

  Yes

  No

  N/A