Fire Safety

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Maintenance Contract

• 1.1- Is there a current certificate of inspection for the fire extinguishers?

  Yes

  No

  N/A

• 1.2 - Enter the Date:

  Date

2. Designated Person & Policy

• 2.1 - Is there a designated Fire Marshall?

  Yes

  No

  N/A

• 2.2 - Name of Fire Marshall:

• 2.3 - Is there a Practice Fire Policy available?

  Yes

  No

  N/A

• 2.4 - Are there Fire Protocols on display?

  Yes

  No

  N/A

3. Fire extinguishers

• 3.1 - List of positions for the fire extinguishers:

• 3.2 - Fire Extinguishers are available in critical areas.

  Yes

  No

  N/A

• 3.3 - Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• 3.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tag) record date

  Yes

  No

  N/A

• 3.5 - Are the extinguishers AS2444 compliant?

  Yes

  No

  N/A

• 3.6 - Location & position of dental practice fire extinguishers.

  Media

• 3.7 - Indicator signs 2.1 m above floor level?

  Yes

  No

  N/A

• 3.8 - Extinguishers clear of obstructions?

  Yes

  No

  N/A

4. Fire Exits

• 4.1 - Are the fire exits adequately signed?

  Yes

  No

  N/A

• 4.2 - Examples of dental practice signs.

  Media

• 4.3 - Paths of travel clear and well defined?

  Yes

  No

  N/A

• 4.4 - Are the fire exits free of clutter and easy to use?

  Yes

  No

  N/A

• 4.5 - Are the fire exits adequate for disabled access?

  Yes

  No

  N/A

• 4.6 - Can the fire exit be opened?

  Yes

  No

  N/A

• 4.7 - Extinguishers no more than 1200 mm max height & base not lower that 100 mm?

  Yes

  No

  N/A

5. Fire Alarm

• 5.1 - Is there a Fire panel or OWS present?

  Yes

  No

  N/A

• 5.2 - Downstairs Fire Alarm Panel.

  Media

• 5.3 - Are regular fire alarm checks conducted?

  Yes

  No

  N/A

• 5.4 - Are there log books on site? If so what is the last test date?

  Yes

  No

  N/A

• 5.5 - Are there monthly staff +/- patient fire alarm practices undertaken?

  Yes

  No

  N/A

• 5.6 - Are there adequate number of detectors?

  Yes

  No

  N/A

• 5.7 - Is the system AS1670 compliant?

  Yes

  No

  N/A

6. General Lighting

• 6.1 - Good natural lighting?

  Yes

  No

  N/A

• 6.2 - Light fittings clean and in good condition?

  Yes

  No

  N/A

Emergency and Exit Lighting

• 7.1 - Emergency exit lighting operable?

  Yes

  No

  N/A

• 7.2 - Example of emergency lighting.

  Media

• 7.3 - Log books on site? If so what is the last test date?

  Yes

  No

  N/A

• 7.4 - Any defect noted in log book?

  Yes

  No

  N/A

• 7.5 - Is lighting adequate?

  Yes

  No

  N/A

8. Sign Off

• Audit undertaken by:

  Sign

9. Next Fire Audit to be undertaken:

• Select date

  Date