Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Fire System Isolation Notification

  • This notification is to be completed for isolations that exceed eight hours and emailed to facilities@regrowcapital.com.au

Fire System Isolation Details

  • Location of Property

  • Isolation Notified by

  • Date and Time of System Shutdown

  • Expected Restoration Date

  • Reason for Isolation/Shutdown

Type of Disconnection/Isolation

  • Water Supply

  • Fire Water Tank

  • Direct Mains Supply

  • Automatic Sprinkler Protection

  • Area Affected

  • Fire/Smoke Alarm Protection

  • Area Affected

  • Other Disconnection/Isolation

  • Tick if Applicable Isolation/Shutdown affects more than 25% of building Yes or N/A (Limit area of isolation wherever possible)

Precautions

  • 1. Fire Brigade notified?

  • 2.Chief Warden Notified?

  • 3. Tenant(s) notified?

  • 4. Charged hose reels ready?

  • 5. Extra extinguishers provided?

  • 6. Cutting and Welding prohibited?

  • 7. Fire watch provided?*

  • 8. Emergency reinstatement procedure?

  • Comments

  • * Only required if the impaired area is left without automatic protection or fire alarms, or in special circumstances (e.g. no on site management or security, major renovations, overnight or weekend)

Protection Restoration Notification

  • Sprinklers restored?

  • Drain tests made?

  • Valve locked open?

  • System safe/active/operational?

  • Performed by:

  • Date/Time

  • Company

  • System restoration notification emailed to facilities@regrowcapital.com.au

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.