Section 1: Ground Floor

Main Entrance/Reception/M D,s Office/H R Office

  • Main Entrance

  • Do all light switches and electrical sockets appear in good condition?

  • Is the fire control panel indicating that it is operational?

  • Are the fire extinguishers (1 & 2) easily accessible?

  • Is the foam fire extinguisher (1) in a satisfactory condition?

  • Is the CO2 fire extinguisher (2) in a satisfactory condition?

  • Is the break glass call point (1) easily accessible and indicating that it is operational?

  • EMERGENCY LIGHTING KEY SWITCH 1
    Is the illuminated final exit sign (1) next to the main exit working?

  • EMERGENCY LIGHTING KEY SWITCH 1
    Is the external emergency light (1) above the main entrance/exit working?

  • Reception - M D's Office - H R Office

  • Is the fire exit sign above the doorway (1) present?

  • Do all light switches and plug sockets appear in good condition?

  • Do all plugs and leads appear in good condition?

  • Are extension leads run under carpets, rugs or across doorways?

  • Does the fire door (1) operate freely?

  • Is the fire door (1) free from obstruction?

  • Is the fire door (1) wedged open/shut?

  • Is the fire door (1) identified with the correct ID/notice?

  • Is the escape route from the reception area to the car park clear of obstructions?

Bottom of Stairs/Kitchen/Toilets/Boardroom

  • Bottom of Stairs

  • Is the fire exit sign (2) above the doorway to the main exit/entrance present?

  • Do all light switches and plug sockets appear in good condition?

  • Is the stairwell clear of storage and clutter?

  • Are the contents in the emergency Grab Bag correct and up to date?

  • Is the fire exit sign (3) above the doorway to the kitchen present?

  • EMERGENCY LIGHTING KEY SWITCH 2
    Is the emergency light (2) at the bottom of the stairs working?

  • Corridor to Boardroom

  • Is the electrical circuit panel identified, locked and the surrounding 3 feet of space clear?

  • Are the panels circuit breakers identified?

  • Does the electrical socket appear in good condition?

  • Is the fire exit sign (4) above the doorway to the stairs present?

  • Are the details on the Health & Safety noticeboard up to date?

  • Is the fire extinguisher (5) easily accessible?

  • Is the CO2 fire extinguisher (5) in a satisfactory condition?

  • EMERGENCY LIGHTING KEY SWITCH 2
    Is the emergency light (3) outside the Gents toilets working?

  • EMERGENCY LIGHTING KEY SWITCH 2
    Is the emergency light (4) outside the Boardroom working?

  • Is the escape route from the Boardroom to the main entrance clear of obstructions?

  • Corridor to kitchen

  • Does the light switch appear in good condition?

  • Are the fire extinguishers (3 & 4) easily accessible?

  • Is the foam fire extinguisher (3) in a satisfactory condition?

  • Is the CO2 fire extinguisher (4) in a satisfactory condition?

  • EMERGENCY LIGHTING KEY SWITCH 3
    Is the emergency light (5) in Reception working?

  • EMERGENCY LIGHTING KEY SWITCH 3
    Is the emergency light (6) in the corridor working?

  • Kitchen

  • What is the hot water temperature of the kitchen sink (Min 50)?

  • What is the cold water temperature of the kitchen sink (Max 20)?

  • Do all light switches and electrical sockets appear in good condition?

  • Do all plugs and leads appear in good condition?

  • Does the fire door (2) operate freely?

  • Is the fire door (2) free from obstruction?

  • Is the fire door (2) wedged open/shut?

  • Is the fire door (2) identified with the correct ID/notice?

  • EMERGENCY LIGHTING KEY SWITCH 4
    Is the emergency light (7) in the Kitchen working?

  • Is the escape route from the kitchen area to the main entrance clear of obstructions?

  • Toilets/Storeroom

  • Do all light switches and electrical sockets in the Gents toilets appear in good condition?

  • What is the hot water temperature of the Gents toilets (Min 50)?

  • What is the cold water temperature of the Gents toilets (Max 20)?

  • EMERGENCY LIGHTING KEY SWITCH 5
    Is the emergency light (8) in the Gents toilets working?

  • Do all light switches and electrical sockets in the Storeroom appear in good condition?

  • EMERGENCY LIGHTING KEY SWITCH 5
    Is the emergency light (9) in the Storeroom working?

  • Do all light switches and electrical sockets in the Ladies toilets appear in good condition?

  • What is the hot water temperature of the Ladies toilets (Min 50)?

  • What is the cold water temperature of the Ladies toilets (Max 20)?

  • EMERGENCY LIGHTING KEY SWITCH 6
    Is the emergency light (10) in the Ladies toilets working?

  • Do all light switches and electrical sockets in the Disablled toilets appear in good condition?

  • EMERGENCY LIGHTING KEY SWITCH 6
    Is the emergency light (11) in the Disabled toilet working?

  • What is the hot water temperature of the Disabled toilet (Min 50)?

  • What is the cold water temperature of the Disabled toilet (Max 20)?

  • Boardroom

  • Do all light switches and electrical sockets appear in good condition?

  • Do all plugs and leads appear in good condition?

  • Are extension leads run under carpets, rugs or across doorways?

  • Is the escape route from the Boardroom area to the main entrance clear of obstructions?

Ground Floor Office

  • Ground Floor Offices

  • Does the fire door (3) operate freely?

  • Is the fire door (3) free from obstruction?

  • Is the fire door (3) wedged open/shut?

  • Is the fire door (3) identified with the correct ID/notice?

  • Is the fire exit sign (5) above the doorway present?

  • Are the fire extinguishers (6 & 7) easily accessible?

  • Is the foam fire extinguisher (6) in a satisfactory condition?

  • Is the CO2 fire extinguisher (7) in a satisfactory condition?

  • Do all light switches and electrical sockets appear in good condition?

  • Do all plugs and leads appear in good condition?

  • Are extension leads run under carpets, rugs or across doorways?

  • Are the fire exit signs (6 & 7) on the back wall present?

  • EMERGENCY LIGHTING KEY SWITCH 7
    Is the emergency light (12) near the First Aid Station working?

  • EMERGENCY LIGHTING KEY SWITCH 7
    Is the emergency light (13) in the finance area working?

  • EMERGENCY LIGHTING KEY SWITCH 7
    Is the emergency light (14) in the finance area working?

  • Are the fire extinguishers (8 & 9) easily accessible?

  • Is the foam fire extinguisher (8) in a satisfactory condition?

  • Is the CO2 fire extinguisher (9) in a satisfactory condition?

  • Is the break glass call point (2) easily accessible and indicating that it is operational?

  • EMERGENCY LIGHTING KEY SWITCH 7
    Is the illuminated final exit sign (2) above the emergency exit working?

  • EMERGENCY LIGHTING KEY SWITCH 7
    Is the external emergency light (15) above the emergency exit working?

  • Are the contents in the emergency Grab Bag correct and up to date?

  • Is the escape route from the Fire Door to the Emergency Exit clear of obstructions?

  • Sack Trolley

  • Is the sack trolley in a satisfactory condition?

  • Is the weight limit indicated on the sack trolley?

  • First Aid

  • Ground Floor First Aiders on Duty

  • Is the list of First Aiders up to date?

  • Are the contents of the First Aid Box correct and within the stated expiry date(s)?

Section 2: First Floor

Staircase, Landing & Server Room

  • Staircase

  • Are the threshers fixed securely?

  • Are the carpet tiles secure?

  • Is the bannister fixed and secure?

  • Server Room

  • Is the fire extinguisher (12) easily accessible?

  • Is the CO2 fire extinguisher (12) in a satisfactory condition?

  • EMERGENCY LIGHTING KEY SWITCH 8
    Is the emergency light (16) working?

  • EMERGENCY LIGHTING KEY SWITCH 8
    Is the emergency light (17) working?

  • Does the fire door (4) operate freely?

  • Is the fire door (4) free from obstruction?

  • Is the fire door (4) wedged open/shut?

  • Is the fire door (4) identified with the correct ID/notice?

  • Landing

  • Is the fire exit sign (8) above the Server Room doorway present?

  • Do all light switches and electrical sockets appear in good condition?

  • Are the fire extinguishers (10 & 11)) easily accessible?

  • Is the Foam fire extinguisher (10) in a satisfactory condition?

  • Is the CO2 fire extinguisher (11) in a satisfactory condition?

  • Is the break glass call point (3) easily accessible and indicating that it is operational?

  • EMERGENCY LIGHTING KEY SWITCH 9
    Is the emergency light (19) at the top of the stairs working?

  • EMERGENCY LIGHTING KEY SWITCH 9
    Is the emergency light (18) on the stairs working?

  • Is the escape route from the top of the stairs to the main entrance clear of obstructions?

First Floor Offices

  • Is the fire exit sign (9) above the entrance present?

  • Are the fire extinguishers (13 & 14) easily accessible?

  • Is the Foam fire extinguisher (13) in a satisfactory condition?

  • Is the CO2 fire extinguisher (14) in a satisfactory condition?

  • Is the electrical circuit panel identified, locked and the surrounding 3 feet of space clear?

  • Are the panels circuit breakers identified?

  • Are the fire exit signs (10 & 11) on the back wall present?

  • What is the hot water temperature of the kitchen sink (Min 50)?

  • What is the cold water temperature of the kitchen sink (Max 20)?

  • Do all light switches and electrical sockets appear in good condition?

  • Do all plugs and leads appear in good condition?

  • Are extension leads run under carpets/ rugs or across doorways?

  • EMERGENCY LIGHTING KEY SWITCH 10
    Is the emergency light (20) in the entrance area working?

  • EMERGENCY LIGHTING KEY SWITCH 10
    Is the emergency light (21) in the kitchen area working?

  • EMERGENCY LIGHTING KEY SWITCH 10
    Is the emergency light (22) in the centre of the office working?

  • EMERGENCY LIGHTING KEY SWITCH 10
    Is the emergency light (23) in the compliance area working?

  • EMERGENCY LIGHTING KEY SWITCH 10
    Is the illuminated final exit sign (3) above to the emergency exit working?

  • EMERGENCY LIGHTING KEY SWITCH 10
    Is the external emergency light (24) above the emergency exit working?

  • Does the emergency exit break glass unit function correctly?

  • Are the fire extinguishers (15 & 16) easily accessible?

  • Is the foam fire extinguisher (15) in a satisfactory condition?

  • Is the CO2 fire extinguisher (16) in a satisfactory condition?

  • Is the break glass call point (4) easily accessible and indicating that it is operational?

  • Is the escape route from the First Floor Office entrance to the First Floor emergency exit clear of obstructions?

  • Is the escape route from the top of the fire escape to the car park clear of obstructions?

  • Are the contents in the emergency Grab Bag correct and up to date?

  • First Aid

  • First Floor First Aiders on Duty

  • Are the contents of the First Aid Box correct and within the stated expiry date(s)?

  • Is the list of First Aiders up to date?

Section 3: General

Electrical, Hazardous Materials, Fire Safety, Emergency Plan, Smoking & Housekeeping

  • Electrical

  • Are circuit breakers regularly tripping?

  • Are all electrical appliances and extension leads PAT tested annually

  • Hazardous Materials

  • Are Material Safety Data Sheets available on all hazardous materials ulitised within the site?

  • Are Material Safety Data Sheets readily available for staff where chemicals are used or stored?

  • Is Personal Protective Equipment available for staff using chemicals?

  • Fire Safety

  • Fire Wardens On Duty

  • Has an annual inspection of all fire extinguishers taken place in the last twelve months?

  • Do all members of staff know where fire extinguishers are located?

  • Has at least one fire drill per shift been conducted in the last twelve months?

  • Do staff demonstrate quick and complete control during evacuation drills?

  • Is each room checked/cleared and a head count conducted?

  • Do fire drills simulate realistic situations/conditions?

  • Did the fire alarm function properly during the drill(s)?

  • Are drills performed at unexpected times?

  • Are staff routinely trained to dial emergency phone numbers to report alarms?

  • Are there any firewall penetrations that are not sealed?

  • Have smoke detectors been tested within the last twelve months?

  • Is an operator on duty at all times at the fire alarm monitoring centre?

  • Emergency Plan

  • Has the emergency plan been reviewed/approved within the last twelve months?

  • Is there an emergency communication back up?

  • Is the current evacuation plan posted/accessible to all members of staff?

  • Are all vehicles reverse parked in the car park?

  • Is the site smoking policy posted/accessible to all members of staff throughout the site?

  • Are designated smoking areas clean and free of potential hazards?

  • Are staff complying with the smoking policy?

  • Housekeeping

  • Are all waste containers emptied/cleaned on a daily basis

  • Does the site have regular waste collections to keep combustible materials at an acceptable level?

  • Additional Comments, Concerns or Issues

  • Completed By:

  • Position:

  • Date

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