Fireplace Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address
Fireplace

Fireplace

• Fire no longer fed after 21:00?

  Yes

  No

  N/A

• Fireplace emptied as last duty of the shift (approx 06:00)?

  Yes

  No

  N/A

• No visible burning embers or smoke?

  Yes

  No

  N/A

• Metal lidded bucket used?

  Yes

  No

  N/A

• Ashes removed to a distance of more than 10 metres from premises?

  Yes

  No

  N/A

• Water or Foam fire extinguisher situated nearby?

  Yes

  No

  N/A

• Name

  Sign