Information

  • Site Name

  • Site/Branch No.

  • Site Address
  • Managers Name

  • Conducted on

  • Deputy Managers Name

  • Contact Details

1. Fire Protection

  • Fire Alarm System

  • Type of system

  • Make

  • Condition

  • Location

  • Evidence:

  • Fire Alarm Panels

  • Type of system

  • Make

  • Condition

  • Location

  • Evidence:

  • Smoke Detectors

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Heat Detectors

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Manual Call Points

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Bells

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Electronic Sounders

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Input Output Units

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Linked to another panel

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Linked to a call centre

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Batteries No/Size/Type/Date

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Date of Battery Installation

  • Evidence:

  • Panel Code/Key No.

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

2. Emergency Lights

  • Maintained

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Non-Maintained

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Sustained

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Twinspots

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Access Equipment Needed

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Location of Test Switches

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

3. AOV Systems

  • Batteries SIze/Type

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Actuator/Mag Type

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

4.Fire Extinguishers

  • Wet Chemical

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Foam Spray

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • CO2

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Water

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Fire Blanket

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Fire Bucket

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

  • Dry Powder

  • Quantity

  • Make

  • Type

  • Condition

  • Location

  • Evidence:

5. Site Questions - Fire

  • Any Special Site Requirements?

  • Details

  • Approximate Age of System?

  • Overall Condition of System?

  • Time & Date Survey Completed

  • Additional Information/Recommendations

6. Door Entry System

  • Number of dwellings on the system:

  • Number of dwellings off the system:

  • Number of floors:

  • Main Entrances:

  • Evidence:

  • Number of main entrances:

  • Door type:

  • If other please specify:

  • Rear Entrances

  • Evidence:

  • Number of rear entrances:

  • Door type:

  • If other please specify:

  • Controlled sub-landing doors:

  • Evidence:

  • Number of controlled sub-landing doors:

  • Door type:

  • If other please specify:

  • System Manufacturer:

  • Evidence:

  • System Type:

  • Evidence:

  • Digital or Functional:

  • Evidence:

  • Audio or Audio/Video:

  • Evidence:

  • Number of Handsets:

  • Type:

  • Evidence:

  • Trades button:

  • Evidence:

  • Main controller:

  • Evidence:

  • Landing junction boxes:

  • Evidence:

  • Access controlled doors:

  • Type:

  • Evidence:

  • Number of access control controllers:

  • Type:

  • Evidence:

  • Locks used:

  • Evidence:

  • Notes:

  • General condition of the system:

  • Evidence:

7. Gates & Barriers

  • Evidence:

  • System manufacturer:

  • System type:

  • Main controller:

  • Evidence:

  • Access control:

  • Type:

  • Evidence:

  • Locks used:

  • Notes:

  • General condition of the system:

8. CCTV

  • Number of internal static cameras:

  • Type:

  • Evidence:

  • Number of external static cameras:

  • Type:

  • Evidence:

  • Number of internal fully functional cameras:

  • Type:

  • Evidence:

  • Number of external fully functional cameras:

  • Type:

  • Evidence:

  • Number of camera columns:

  • Evidence:

  • Telemetry transmitter type:

  • Evidence:

  • DVR type:

  • Number of inputs:

  • Evidence:

  • Power supplies used:

  • Evidence:

  • Remote monitoring:

  • Via:

  • Evidence:

  • Number of monitors:

  • Type:

  • Size:

  • Evidence:

  • Notes:

  • General condition of the system:

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.