Essential Safety Measures Inspection Survey Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Add location
  Address

• Photo of building

  Media

• Date of inspection

  Date

• What is the National Construction Code class of building

• What is the use of the building

Application of Building Regulations

• Is the building constructed under Building Regulations 2006 (Subdivision 1)?<br>(Post 1994)

  Yes

  No

  N/A

• Is the building constructed Building Regulations 2006 (Subdivision 2)?<br>(Pre 1994)

  Yes

  No

  N/A

Required documentation & paperwork

• Is the Occupancy Permit available?

  Yes

  No

  N/A

• Is the Annual Essential Safety Measures Report available?

  Yes

  No

  N/A

• Are current Maintenance Records available?

  Yes

  No

  N/A

Building Fire Integrity

• Has the annual inspection of the building elements required to satisfy prescribed fire resistance levels been carried out?

  Yes

  No

  N/A

• Has the annual inspection of the materials and assemblies required to satisfy prescribed fire hazard properties been carried out?

  Yes

  No

  N/A

• Has the annual inspection of the elements required to be non-combustible, provide fire protection, compartmentation or separation been carried out?

  Yes

  No

  N/A

• Are the wall-wetting sprinklers (including doors and windows required in conjunction with wall-wetting sprinklers) being maintained?

  Yes

  No

  N/A

• Are the fire doors (including sliding fire doors and their associated warning systems) and associated self-closing, automatic closing and latching mechanisms being maintained?

  Yes

  No

  N/A

• Are the fire windows (including windows that are automatic or permanently fixed in the closed position) being maintained?

  Yes

  No

  N/A

• Are the fire shutters being maintained?

  Yes

  No

  N/A

• Are the solid core doors and associated self-closing, automatic closing and latching mechanisms being maintained?

  Yes

  No

  N/A

• Is fire protection at service penetrations through elements required to be fire-resisting with respect to integrity or insulation, or to have a resistance to incipient spread of fire being maintained?

  Yes

  No

  N/A

• Is fire protection associated with construction joints, spaces and the like in and between building elements required to be fire-resisting with respect to integrity and insulation being maintained?

  Yes

  No

  N/A

• Are the smoke doors and associated self-closing, automatic closing and latching mechanisms being maintained?

  Yes

  No

  N/A

• Are the proscenium walls (fire curtains) are being maintained?

  Yes

  No

  N/A

Means of Egress

• Are the paths of travel to the exits clear of obstructions?

  Yes

  No

  N/A

• Is the discharge from exits (including paths of travel from open spaces to the public roads to which they are connected) being maintained?

  Yes

  No

  N/A

• Are the exits (including fire-isolated stairways and ramps, non-fire isolated stairways and ramps, stair treads, balustrades and handrails associated with exits, and fire isolated passageways) being maintained and clear of obstructions?

  Yes

  No

  N/A

• Has the annual inspection of the smoke lobbies to fire-isolated exits been carried?

  Yes

  No

  N/A

• Has the annual inspection of the open access ramps or balconies for fire-isolated exits been carried out?

  Yes

  No

  N/A

• Are the doors (other than fire or smoke doors) in a required exit, forming part of a required exit or in a path of travel to a required exit, and associated self-closing, automatic closing and latching mechanisms being maintained?

  Yes

  No

  N/A

Signs

• Has the annual inspection of the signs alerting persons that the operation of doors must not be impaired been carried out?

  Yes

  No

  N/A

• Has the annual inspection of the signs warning against the use of lifts in the event of fire been carried out?

  Yes

  No

  N/A

• Has the annual inspection of the warning signs on sliding fire doors and doors to non-required stairways, ramps and escalators been carried out?

  Yes

  No

  N/A

• Has the annual inspection of the signs, inter communication systems, or alarm systems on doors of fire-isolated exits stating that re-entry to storey available been carried out?

  Yes

  No

  N/A

• Has the annual inspection of the signs required on doors, in alpine areas, alerting people that they open inwards been carried out?

  Yes

  No

  N/A

• Has the annual inspection of the fire order notices required in alpine areas to ensure the warning sign is in place and legible been carried out?

  Yes

  No

  N/A

Lighting

• Are the exit signs (including directional signs) are being maintained?

  Yes

  No

  N/A

• Is the emergency lighting being serviced and maintained?

  Yes

  No

  N/A

Fire Fighting Services & Equipment

• Is the fire hydrant system being maintained?<br>(including on-site pump set and fire-service booster connection)

  Yes

  No

  N/A

• Is the fire hose reel system being maintained and tagged?

  Yes

  No

  N/A

• Is the sprinkler system being maintained?

  Yes

  No

  N/A

• Are the portable fire extinguishers being maintained and tagged?

  Yes

  No

  N/A

• Are the fire control centres (or rooms) being inspected and maintained?

  Yes

  No

  N/A

• Are the provisions for special hazards being maintained?

  Yes

  No

  N/A

Air Handling Systems

• Are the smoke hazard management systems being maintained?

  Yes

  No

  N/A

• Is the automatic air pressurisation system for fire-isolated exits being maintained?

  Yes

  No

  N/A

• Is the zone smoke control system being maintained?

  Yes

  No

  N/A

• Are the automatic smoke and heat vents (including automatic vents for atriums) being maintained?

  Yes

  No

  N/A

• Have the air handling systems that do not form part of a smoke hazard management system being maintained?

  Yes

  No

  N/A

• Is the carpark mechanical ventilation system being maintained?

  Yes

  No

  N/A

• Is the atrium smoke control system being maintained?

  Yes

  No

  N/A

Automatic Fire Detection & Alarm Systems

• Is the smoke and heat alarm system being maintained?

  Yes

  No

  N/A

• Is the smoke and heat detection system being maintained?

  Yes

  No

  N/A

• Is the Atrium fire detection and alarm system being maintained?

  Yes

  No

  N/A

Occupant Warning Systems

• Is the emergency warning and intercommunication system being maintained?

  Yes

  No

  N/A

• Is the building occupant warning system being maintained?

  Yes

  No

  N/A

Lifts

• Are the stretcher facilities in the lifts being maintained?

  Yes

  No

  N/A

• Are the emergency lifts being maintained?

  Yes

  No

  N/A

• Are the passenger lift fire service controls being maintained?

  Yes

  No

  N/A

Standby Power Supply Systems

• Is the standby power supply system being maintained?

  Yes

  No

  N/A

Building Clearance & Fire Appliances

• Is the open space around the large isolated buildings being maintained?

  Yes

  No

  N/A

• Is the vehicular access around the large isolated buildings being maintained?

  Yes

  No

  N/A

Mechanical Ventilation

• Are the air conditioning system being maintained?

  Yes

  No

  N/A

Other Comments

• Are evacuation plans provided in the building

  Yes

  No

  N/A

• Other Comments

Non-compliant Items