Fire extinguishers

  • Are extinguishers in labelled locations?

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

  • Are extinguishers easily accessible and unobstructed?

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

Fire Escape Routes

  • Are emergency exit routes clearly signposted?

  • Are escape routes clear and free of obstructions?

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

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

Fire Safety Notices and Signs

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

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

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

Fire Exits

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

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

  • Do Fire Exits discharge into a place of safety?

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

Electrical Equipment

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

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

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

Heating Equipment

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

General Housekeeping

  • Are all work areas tidy?

  • Is the smoking policy seen to be working?

  • Are packing and stationery materials securely contained and stored?

  • Are flammable materials stored in a secure location?

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


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

  • Sign & Date: (Fire Warden)

  • Sign & Date: (Safety Manager)

  • 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.

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