Title Page

  • Site conducted

  • Conducted on

  • Review conducted by

  • Location
  • Branch Manager's Name

FIRE NOC

  • Fire NOC/Form-B document available for the building?

  • Latest Form-B

GENERAL SAFETY

  • Distance of nearest fire station from the building (in Kms)

  • Is the office away from high-fire-risk areas ( Kitchen/Restaurant above/below/adjacent to our office)

  • First Aid box is available in the office

  • Height of the building (approx in mtrs)

  • BCP Stock ? (Food/Sleeping-Bag/Water/etc..)

SIGNAGE

  • Standard Fire Safety- Signage are installed in a visible manner?

  • CCTV Signage displayed ?

ELECTRICAL SAFETY

Building Related

  • Building Electrical-Meter-Room or Main-Electrical-Incomer area located at a safe place and not blocking exit-passage?

  • The external passage from our office to nearest staircase is free from any Electrical-Panels & loose hanging electrical-cables?

EW Office Related

  • Emergency-Light installed near office exit pathway?

  • All electric power distribution boxes is equipped with ELCB/RCCB? (except UPS DB)

  • Electric Preventive Maintenance is in practice

  • Latest report

  • IT Hub Room/ UPS Room are provided with dual AC units & timer circuit device?

  • Installed Air Conditioners are serviced?

  • Latest service report

  • Latest Electricity Bill (Front & Rear Side)

  • Confirm Branch Occupancy number?

FIRE ALARM SYSTEM

  • Fire Alarm System (FAS) is installed in the office?

  • FAS Integrated with Centralised Monitoring System / Comman Center?

  • FAS panel is powered through UPS supply-point/socket?

  • FAS is integrated with access control door? (auto release mechanism)

  • FAS panel has 12V battery back-up

FIRE FIGHTING SYSTEM

Hydrant :

  • Fire Hydrant System installed in the building? (NA for lowrise building)

  • Are there sufficient FE kept in lobby

  • Fire Hydrant System is in working condition?

Extinguisher :

  • Are sufficient Fire Extinguishers available in the branch & placed properly

  • CO2 FE placed near Electrical Main Panel/ DB/ UPS Rooms

  • Ceiling-Mount CO2/Clean-Agent FE installed in Electrical/UPS/IT-Hub Room. (if dedicated room)

  • Count of Extinguishers- CO2

  • Count of Extinguishers- ABC

  • Count of Extinguishers- Clean Agent

  • Count of Extinguishers- Ceiling-Mount

  • Count of Extinguishers- Others

  • Specify FE details & attach pix

EVACUATION

  • How many staircases are available in the building (preferred 1.5mtr wide)?

  • Does External passage from our office leading to staircase is wide enough (minimum 1.5 mtr)?

  • Office has an Emergency Exit / 2nd Exit? (Not applicable for below 2500 sq.ft. area)

  • Does office has Openable Window(s)?

  • Staircase leading to Building-Exit is clear from any permanent-obstruction?

  • Distance between farthest workdesk and nearest Emergency Exit Door is less than 30 mtrs?

  • Branch office are cleared from all Combustible & Disposable materials?

  • Main passage(s) & Exit door(s) are cleared from any obstruction and accessible always?

BUILDING HYGIENE :

  • Building is well protected with a perimeter/boundary wall/controlled access?

  • Approach to building is through safe and secured passage?

  • Does building premises have security guard?

  • Building elevator/lifts are well-maintained (Valid License from authorities)?

  • Directional Signage from lift-lobby to our office is available?

  • Staircase is well-lit with natural ventilation or Pressurized-Air supply?

  • Is staircase kept clean from all obstructions/storages?

  • Does building premises has Safe Assembly Point?

EW OFFICE PREMISES :

  • Entrance to our office is clear, well-lit & proper signage/branding?

  • Office passages from inside are clear of obstructions, Well-lit and blind-corners?

  • Office passage is free of tripping hazards (e.g., clutter, damaged mats, uneven flooring,uncovered cables)?

  • Toliets are provided with Exhaust-Fans & Odour-free?

  • Water-dispenser (Drinking-Water) are kept clean & regularly maintained?

  • Updated Emergency-Contact details are displayed in branch for easy reference

  • Electrical-Panel is kept clean & clear from combustible materials

WORKPLACE CLEANLINESS :

  • Office is kept neat, clean & odour-free?

  • Ceiling and walls are free of dirt, dust & cobwebs.

  • Office Notice-Board is kept neat and articles/posters well arranged/valid

  • Worktables, chairs and furniture are free of dirt and dust.

  • Worktables, chairs/sofas are in good condition

  • Furniture (desks and cabinet) are free from sharp-edges

  • Food rooms (Pantry) and equipment (Microwave, etc…) in good condition and well maintained/kept clean

  • Pest control exercise is carried out quaterly/half-yearly

  • Latest report

PERSONAL HYGIENE :

  • Water-closets and urinals are provided with proper flushing facilities

  • Liquid soap is provided.

  • Toilet paper is provided.

  • Covered rubbish bins are provided.

  • Toilets ventilated/ Exhaust

  • Security-Guard, Houskeeping-Staff, Pantry/Utility Staff are well dressed and wearing clean uniform?

BRANCH SECURITY

PHYSICAL SECURITY:

  • Is building surrounding safe & secure for people? Check if no high risk areas in vicinity (Embassy, Movie Theater, etc)

  • Is Branch have Physical Security Guarding?

  • Security Guard's awareness towards Fire-Safety ?

CCTV :

  • Does Branch Office is covered under CCTV Surveillance?

  • Is CCTV System live and integrated with Command Centre?

  • Reason for not having CCTV integration

Select Camera Locations

  • Outside Main Door

  • Server Room- Inside/ \Passage

  • Reception/ Office Entry

  • Common Passage

ACCESS CONTROL SYSTEM :

  • Is Branch Office having Access Control System (ACS)

  • Is ACS integrated with Command Center?

  • Does all employees have ID + Access Cards?

  • If Biometric System- All employees fingerprint registered on system?

Reviewer's View

  • Any more observation/feedback ?

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.