Fire Equipment and Escape Routes Inspection (SFSA 28)

• Document No.

• Audit Title

• Client / Site

• Job Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Block A

Ground Floor A

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

First Floor A

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Second Floor A

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Roof A

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Block B

Basement B

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Ground Floor B

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

First Floor B

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Second Floor B

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Third Floor B

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Roof B

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Block C

Ground Floor C

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

First Floor C

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Second Floor C

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Roof C

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

• Block D

  Yes

  No

  N/A

Ground Floor D

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Block E

Ground Floor E

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

First Floor E

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Second Floor E

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Welfare Area

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Smoking Area

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

Drying Room

• Both portable extinguishers at their predetermined positions?

  Yes

  No

  N/A

• Tamper indicators intact?

  Yes

  No

  N/A

• Extinguishers Tested and In Date?

  Yes

  No

  N/A

• Fire Plan and Signage Displayed?

  Yes

  No

  N/A

• Running man signage visible with direction indicated?

  Yes

  No

  N/A

• Escape routes unobstructed?

  Yes

  No

  N/A

• Any build up combustibles on this floor?

  Yes

  No

  N/A

General

• Have Fire Alarms Been Tested In The Last Month?

  Yes

  No

  N/A

• When Was Last Test?

  More than one month

  More than two months

• Fire Plan Up to Date?

  Yes

  No

  N/A

• COSHH Stored Correctly?

  Yes

  No

  N/A

• COSHH Storage Labelled Properly?

  Yes

  No

  N/A

• Emergency 'Pick Up Pack' Available?

  Yes

  No

  N/A

• Fire Co-ordinator Selected

  Yes

  No

  N/A

• Fire Marshalls Selected

  Yes

  No

  N/A

• How Many?

  Select One Two Three Four Five-Ten Eleven-Twenty More than Twenty

  • One
  • Two
  • Three
  • Four
  • Five-Ten
  • Eleven-Twenty
  • More than Twenty

End

• Finished?

  Off

  On

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