Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Time on scene

FD actions

  • Initial response

  • Rescues made?

  • Status on arrival

  • Water source

  • Fire control

  • Area of origin?

  • Source of ignition?

  • First ignited?

  • Possible cause?


  • Initial detect?

  • Extent of fire?

Building information

  • Building height?

  • Level of origin?

  • Age of structure?

  • Occupancy type? Ex ... church, farm, residential? Seasonal, permanent ?

  • Illegal use?

Smoke alarms / evacuation

  • Smoke alarm presence?

  • Reason for smoke alarm failure?

  • Smoke alarm type?

  • Smoke alarm present on other floors?

  • Smoke alarm impact?

Fire alarm/sprinkler

  • Fire alarm presence?

  • Fire alarm operation?

  • Fire alarm impact?

  • Sprinkler presence?

  • Sprinkler activation


  • Insured?

  • Insurance information provided?

Occupant information

  • Any occupant/owner information available?

  • Any scene photos enter here

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.