Title Page

  • Client / Site

  • Conducted on

  • Location
  • Prepared by

ESM cabinet

  • Esm Cabinet installed

  • loctation; eg foyer

  • cabinet contents

  • Detail other:

  • ESM cabinet location photo

  • site evacuation plan on display

  • plan photo

  • notes / recommendations


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

  • Switchboards
  • main switchboard or sub board

  • significant switchboard?

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

  • recomdenations

  • RCD/RCB installed

  • Location ; eg admin area

  • Number RCD/RCB installed

  • switchboard photo

  • notes / recommendations

Exit/Emergency lighting

  • Exit/Emergency lighting installed

  • Number of systems on site : click add for each system
  • logbook on site

  • last test performed

  • Notes/details

  • Dedicated switchboard isolation curcuit

  • switchboard location/number

  • circuit number:

  • notes / recommendations

First aid kit

  • first aid kit

  • suitable size

  • Expiry date

  • correct signage

  • location photo

  • notes / recommendations

Fire alarm system

  • Fire alarm system installed

  • smoke detectors or smoke alarms installed

  • Number of alarms installed:

  • notes / recommendations

Portable fire equipment

  • last service date

  • last service level

  • equipment installed, click add for each piece of equipment

  • portable fire equipment
  • equipment type

  • location photo inc siganage

  • location photo inc siganage

  • location photo inc signage

  • location photo inc photo

  • last test date

  • last service level

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

  • recomendations

  • notes /recommendations

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.