Fire Warden Monthly Checklist 2017

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fire extinguishers

• Are extinguishers in labelled locations?

  Yes

  No

  N/A

• Are extinguisher pins in place and seals unbroken (for 2017/18 the extinguisher pins are orange)? <br>

  Yes

  No

  N/A

• Are extinguishers easily accessible and unobstructed?

  Yes

  No

  N/A

• If a gauge is fitted, is the needle in the green zone?

  Yes

  No

  N/A

Fire Escape Routes

• Are emergency exit routes clearly signposted?

  Yes

  No

  N/A

• Are escape routes clear and free of obstructions?

  Yes

  No

  N/A

• Do Fire Doors self-close effectively into the door frame?

  Yes

  No

  N/A

• Are Fire Doors kept closed (not held/wedged open)?

  Yes

  No

  N/A

Fire Safety Notices and Signs

• Are all Fire Safety notices and signs clearly visible and not defaced?

  Yes

  No

  N/A

• Are ‘Fire Action’ notices in place and do they indicate the location of Fire Assembly Point?

  Yes

  No

  N/A

• Is the sign at the Fire Assembly Point in place, clearly visible, and undamaged?

  Yes

  No

  N/A

Fire Exits

• Are final exits from buildings clear of obstructions, both inside and outside the building?

  Yes

  No

  N/A

• Can emergency exits be opened without the use of a key?

  Yes

  No

  N/A

• Do Fire Exits discharge into a place of safety?

  Yes

  No

  N/A

• Is the Fire Assembly Point clearly identifiable and is it in a clear safe area away from traffic?

  Yes

  No

  N/A

Electrical Equipment

• Are all electric cables tidy and free from trip hazards?

  Yes

  No

  N/A

• Are all extension cables fully extended (uncoiled) and routed safely?

  Yes

  No

  N/A

• Is there evidence of temporary repair of or damage to electrical equipment?

  Yes

  No

  N/A

Heating Equipment

• Are heaters, flues, vents and hot pipes clear of furniture, clothing, paper or other combustible materials?

  Yes

  No

  N/A

General Housekeeping

• Are all work areas tidy?

  Yes

  No

  N/A

• Is the smoking policy seen to be working?

  Yes

  No

  N/A

• Are packing and stationery materials securely contained and stored?

  Yes

  No

  N/A

• Are flammable materials stored in a secure location?

  Yes

  No

  N/A

• Is combustible waste safely stored away from heat sources and disposed of regularly?<br>

  Yes

  No

  N/A

Comments

• Do you have any further comments? (Please use this space to support your answers.)

• Sign & Date: (Fire Warden)

  Sign

• Sign & Date: (Safety Manager)

  Sign

• Fire Wardens & ASMs should keep a copy of this form for their records. The Fire Warden should forward the completed form, signed* and dated* to the appropriate Area Safety Manager. The ASM should forward the completed copy to the SHE office and action remedial measures where necessary.

• *When submitting an electronic copy of this form, insertion of the Fire Warden’s / Area Safety Manager’s name with the appropriate date will constitute an authorisation signature.

• Have all issues been addressed since the last check sheet was completed? If not, please explain which are outstanding.

  Yes

  No

  N/A