ESM site audit jims test and tag

• Client / Site

• Conducted on

  Date
• Location
  Address

• Prepared by

ESM cabinet

• Esm Cabinet installed

  Yes

  No

  N/A

• loctation; eg foyer

• cabinet contents

  Select portable fire equipment serviceing report exit/emergency lighting log book esm schedulal other

  • portable fire equipment serviceing report
  • exit/emergency lighting log book
  • esm schedulal
  • other

• Detail other:

• ESM cabinet location photo

  Media

• site evacuation plan on display

  Yes

  No

  N/A

• plan photo

  Media

• notes / recommendations

switchboards

• Number of switchboard on site, click add for each switchboard

Switchboards

• main switchboard or sub board

  main switchboard

  subboard

• significant switchboard?

  Select Located within a required exit Neither constructed installed in accordance to AS 3000-1970 or later edition Emergency services switchboard Connected to 3 phase power Vertically aligned and servicing a floor in a building of more than 2 stories No

  • Located within a required exit
  • Neither constructed installed in accordance to AS 3000-1970 or later edition
  • Emergency services switchboard
  • Connected to 3 phase power
  • Vertically aligned and servicing a floor in a building of more than 2 stories
  • No

• Is CO2 or appropriate fire extinguisher installed between 2 m and 20 m of this switchboard

  Yes

  No

  N/A

• recomdenations

• RCD/RCB installed

  Yes

  No

  N/A

• Location ; eg admin area

• Number RCD/RCB installed

• switchboard photo

  Media

• notes / recommendations

Exit/Emergency lighting

• Exit/Emergency lighting installed

  Yes

  No

  N/A
Number of systems on site : click add for each system

• logbook on site

  Yes

  No

  N/A

• last test performed

  Date

• Notes/details

• Dedicated switchboard isolation curcuit

  Yes

  No

  N/A

• switchboard location/number

• circuit number:

• notes / recommendations

First aid kit

• first aid kit

  Yes

  No

  N/A

• suitable size

  Yes

  No

  N/A

• Expiry date

  Date

• correct signage

  Yes

  No

  N/A

• location photo

  Media

• notes / recommendations

Fire alarm system

• Fire alarm system installed

  Yes

  No

  N/A

• smoke detectors or smoke alarms installed

  smoke detectors

  smoke alarms

  None installed

• Number of alarms installed:

• notes / recommendations

Portable fire equipment

• last service date

  Date

• last service level

  1

  2

  4

  5

• equipment installed, click add for each piece of equipment

portable fire equipment

• equipment type

  Select AB ABE CO2 Air/Water Air/Foam Fire Blanket Hose reel hydrant

  • AB
  • ABE
  • CO2
  • Air/Water
  • Air/Foam
  • Fire Blanket
  • Hose reel
  • hydrant

• location photo inc siganage

  Media

• location photo inc siganage

  Media

• location photo inc signage

  Media

• location photo inc photo

  Media

• last test date

  Date

• last service level

  1

  2

  4

  5

• Is currently installed fire equipment provides appropriate protection for fire hazard/risk

  Yes

  No

  N/A

• recomendations

• notes /recommendations