Emergency Equipment Inspection - Bancroft Campus

• Conducted on

  Date

• Prepared by Health & Safety Reps

  Select

• Accompanied by Manger/Guest

FIRE EXTINGUISHER CHECKS

• Indicate location of Fire Extinguisher

  Select Main entrance Reception Room 110 North Fire Exit Room 201 Room 207 Side Lobby Room 217 Room 217 Furnace Room Room 218 Boardroom Room 218 Vestibule Student Kitchen Back Hallway Room 212 Room 211 Classroom Room 211 Fire Exit Room 301 Staff Kitchen

  • Main entrance
  • Reception
  • Room 110
  • North Fire Exit
  • Room 201
  • Room 207
  • Side Lobby
  • Room 217
  • Room 217 Furnace Room
  • Room 218 Boardroom
  • Room 218 Vestibule
  • Student Kitchen
  • Back Hallway
  • Room 212
  • Room 211 Classroom
  • Room 211 Fire Exit
  • Room 301
  • Staff Kitchen

• Is the fire extinguisher accessible?

  Yes

  No

  N/A

• Test and document

  Pass

  Fail

  N/A
AUTOMATIC EXTERNAL DEFIBRILLATOR INSPECTION

• IAED Inspection Procedure

• Is the alarm

  On

  Off

• Visual check

  Pass

  Fail

  N/A

• Indicate pads expiry date

  Date

• CPR mask available

  Yes

  No

  N/A
First Aid Kits

• Indicate Kit inspected

• Was the First Aid Kit checked checked quarterly?

  Yes

  No

  N/A

• Indicate last date inspected

  Date

• Is there additional supplies needed?

  Compliant

  Non-Compliant

  N/A

• First Aid certificates are posted and valid

  Compliant

  Non-Compliant

  N/A
Emergency Lighting

• Indicate Area

• Test and ensure emergency lighting is working properly

  Safe

  At Risk

  N/A

Exits, Entrances and Exterior Parking Lot

• Fire exit doors are in good repair and free from obstruction (both sides)

  Safe

  At Risk

  N/A

• Signs and doors are clearly marked, Exit signs easy to see

  Safe

  At Risk

  N/A

• Walkways and parking lots are maintained from snow, ice, water, grease

  Safe

  At Risk

  N/A

• Fire and evacuation plan is posted

  Compliant

  Non-Compliant

  N/A

Please sign and email the report to OHW Specialist

• Enter date and time

  Date

• Signature

  Sign