Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Safety Checks

Escape Routes and Exits

  • Are all escape routes kept clear and free from obstruction?

  • Do all fire doors close correctly?

  • Are final exit doors (i.e., non-fire doors) clear, un-obstructed on both sides and open freely?

  • Are external pathways from exits leading away from the building clear and un-obstructed?

  • Are the underneath of desks kept clear and unobstructed?

Fire Safety Signs and Notices

  • Are escape route directional and final exits signs un-obstructed and clearly visible?

  • Are fire doors and final exit doors clearly signed?

  • Are assembly point signs clearly visible and in good condition?

Fire Alarm

  • Is the Fire Alarm tested weekly?

  • Please enter the date of the last fire alarm test

  • Can all staff raise the alarm by activating the fire alarm call point?

  • Are there visual pictoral signs over each call point?

Fire Extinguishers

  • Are fire extinguishers readily available for use?

  • Are fire extinguishers un-obstructed and freely visible?

  • Are fire extinguishers with pressure gauges in green?

  • Are all fire extinguishers within their annual inspection date?

Sources of Ignition, Smoking Materials, and Combustible Materials

  • When not in use, are electrical items switched off?

  • Are all computers shut down at night time?

  • Are there any signs of illicit smoking taking place?

  • Are all combustible materials removed from the immeidate vicinity of live electrical equipment?


  • Any actions required should be recorded below with details of responsibility clearly identified

  • Signature of Fire Warden

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.