Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
AMENDMENT REGISTER
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List History of Amendments in order including DATE, PAGE/S, COMMENTS & BY WHOM
ANNUAL REVIEW
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Annual Review of Manual has been undertaken (List Date of Last Review).
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Annual Review Sign Off by Authorised Person or EPC
EMERGENCY CONTACT NUMBERS
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POLICE (Australia 000)
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FIRE BRIGADE (Australia 000)
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AMBULANCE (Australia 000)
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LEAKING GAS (Australia All Areas 13 27 71)
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POISONS INFORMATION HOTLINE (Australia 13 11 26)
BUILDING EMERGENCY CONTACT NUMBERS
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CHIEF WARDEN
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Property Manager
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Operations/Facility Manager
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Security
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Risk Manager
MAINTENANCE EMERGENCY CONTACT NUMBERS
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Electricity
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Water
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Lifts/Escalators/Travelators
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Air Conditioning
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Fire Equipment Maintenance
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FIre Indicator Panel
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EWIS/EWS/BOWS System
BUILDING PROFILE
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Building Name
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Building Address
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Tenancy Address (if applicable)
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Property Management Company
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Evacuation Co-ordinator (List Details)
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Fire Safety Advisor (List Details)
BUILDING DESCRIPTION
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Type of Building
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Number of Floors
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Basement Levels (List Details)
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Basement Car Parks
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Loading Dock/s
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Lift/s (if applicable List Number)
ALARM/DETECTION SYSTEM
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Fire Indicator Panel (FIP)
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Location of FIP
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EWIS/EWS/BOWS
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Location of EWIS/EWS/BOWS
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Smoke Detectors
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VESDA System
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Thermal Detectors
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Beam Detectors
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Manual Call Points (Break Glass Alarms) for Fire
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Break Glass Points for Emergency Door Release
COMMUNICATION SYSTEMS
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Alert & Evacuation Tones
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Loud Hailer
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Public Address System Available
ACCESS/SECURITY SYSTEMS
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Proximity Card Access
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Concierge/Reception
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Visitor/Prescribed Person Procedures
ON ACTIVATION OF THE FIRE INDICATOR PANEL
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Fire Services Notified
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Magnetic Doors Release
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Fire/Smoke Doors Release
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Pressurise Fire Stairs
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Shut Down Air Conditioning
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Exhaust Fans Start
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Ground Lifts
SUPPRESSION SYSTEMS
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Dry Chemical Extinguishers
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CO2 Extinguishers
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Foam Extinguishers
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Wet Chemical Extinguishers
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Water Extinguishers
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Fire Blankets
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Sprinklers
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Hydrants
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Hose Reels
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Gaseous Suppression
EMERGENCY CONTROL ORGANISATION
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Warden Identification Method
SPECIAL RISKS
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Roof Access (if applicable list access method and location)
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Confined Spaces (if applicable list location)
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Dangerous Goods (if applicable List Type and Location)
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MSDS (if applicable list Location)
OTHER RISKS/ISSUES
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List any Fire Engineered Solutions
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List any General Comments
SAFE ASSEMBLY AREAS
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List Assembly Area/s
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Site Evacuation Diagram/s