Emergency Equipment Inspection - Bancroft Campus

• Conducted on

  Date

• Prepared by Health & Safety Reps

• 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

• 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

Please Sign and Email the Report to OHW Specialist

• Document date and time

  Date

• Signature

  Sign