Evacuation Chair Check

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Is the Evac Chair in their correct location?

  Yes

  No

  N/A

• Photoluminesent Evac Chair sign is present?

  Yes

  No

  N/A

• Instructions card is present?

  Yes

  No

  N/A

• Chair is undamaged, mounted on brackets and unobstructed?

  Media

• Has been serviced in the last 12 months

  Yes

  No

  N/A

1st Floor Old Building

• Is the Evac Chair in their correct location?

  Yes

  No

  N/A

• Photoluminesent Evac Chair sign is present?

  Yes

  No

  N/A

• Instruction card is present?

  Yes

  No

  N/A

• Chair is undamaged, mounted on brackets and unobstructed?

  Yes

  No

  N/A

• Has been serviced in the last 12 months

  Yes

  No

  N/A

2nd Floor Glazed link

• Is the Evac Chair in the correct location?

  Yes

  No

  N/A

• Photoluminesent Evac Chair sign is present?

  Yes

  No

  N/A

• Instruction Card is present?

  Yes

  No

  N/A

• Chair is undamaged, mounted on brackets and unobstructed?

  Yes

  No

  N/A

• Has been serviced in the last 12 months

  Yes

  No

  N/A