Title Page
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Business Name
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Business Address
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Photo of Site
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Inspection Date
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Job Number
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Completed By
Evacuation Planning, Instruction & Practice
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The occupier must ensure they have a Fire and Evacuation Plan.
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There is a current and compliant Emergency Fire and Evacuation Plan for this site.
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The Fire and Evacuation plan must contain procedures for people with special needs.
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The Fire and Evacuation Plan contains information for developing a personal emergency
evacuation plan (PEEP). -
Does the Fire and Evacuation Plan reflect performance solutions within the building?
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The performance solutions for the building are reflected in the plan.
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The Fire and Evacuation Plan must be reviewed annually.
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The Fire and Evacuation Plan and Diagrams are reviewed on an annual basis.
Evacuation Signs & Diagrams
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The Evacuation signs must contain all the relevant information
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The Evacuation diagrams are displayed in locations where occupants and visitors are able to view them (eg. Kitchens/High Traffic Areas).
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The evacuation diagrams are positioned within a zone at a height not less than 1200 mm and not more than 1600 mm above the plane of the finished floor.
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The diagram is orientated correctly.
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The Assembly Area is orientated correctly.
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The pictorial representation of the floor or area is at least 300 mm × 200 mm (A3)
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The title is ‘Evacuation Sign & Diagram’
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There is a ‘YOU ARE HERE’ location?
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The designated exits in the facility are marked in green.
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The Fire Indicator Panel (FIP) marked if onsite.
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The WIPs, MCPs, Fire Hose Reels & Fire Blankets are marked in red.
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The Extinguishers are marked with the appropriate band colour.
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Refuges and safe havens are marked if present.
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There is a Validity date.
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The location of assembly area(s) is either stated in words or pictorially represented.
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There is a legend, which reflects the symbols used.
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The diagrams should not be greater than 5 years from the original issue date.
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Enter the validity or expiry date
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The Evacuation signs must be securely fastened
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The evacuation signs were securely fastened to the walls
Appointment of ECO
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Sufficient warden identification must be readily available onsite.
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Wardens have appropriate identification through the use of hats, helmets and/or vests.
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Sufficient number of wardens must be appointed to the site.
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An appropriate number of wardens have been assigned to the site.
Training
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Are members of the ECO provided with training as outlined in the standard, incuding how to respond to any audible warning system that may be installed.
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General Evacuation Instructions must be given to all staff within two days of starting.
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All staff are provided General Evacuation Instructions within the first 2 days their employment.
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First Response Evacuation Instructions must be given to all staff within two months of starting
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All staff are given First Response Evacuation Instructions within two months of their employment.
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These instructions are to be repeated. General Evacuation Instructions annually & First Response Evacuation Instructions every two years.
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The General Evacuation Instructions & First Response Evacuation Instructions are repeated for all existing staff members.
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Evacuation Coordinator Instruction (Chief Warden Training) must be provided at least annually.
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Evacuation Coordinator Instructions has been provided to the site within the previous 12 months.
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An Evacuation Practice must be conducted annually.
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An Evacuation Practice has been provided to the site within the previous 12 months.
Means Of Escape
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Evacuation routes are clear from obstructions
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Egress paths were checked and found to be free of obstructions at the time of the review.
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All doors along the evacuation routes are unlocked and unobstructed.
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Doors along the egress paths were checked and found to be unlocked and unobstructed at the time of the review.
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The final exit doors must be clear of obstructions for two meters.
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The final exit doors of the site were found to be free of obstructions for two meters
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Terminal exit doors are signed 'Fire Safety Door – Do Not Obstruct'
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The terminal exit doors are appropriately signed.
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All final exit doors must have single action, downward opening hardware<br>
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The hardware on doors along the egress routes were checked and found to be the correct type.
External Assembly Area
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Is the assembly area considered a safe distance from the building?
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Is the assembly area large enough to hold the buildings occupants?
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Are there any risks nearby? If so, what are they?
Maintenance of Fire Safety Installations
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Exit signs must be undamaged and functioning correctly.
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The installed exit signs were undamaged and functioning correctly and have been maintained in accordance with Australian Standard 2293-2019.
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Emergency lighting must be undamaged and clear of obstructions.
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The installed emergency lighting was undamaged and unobstructed and have been maintained in accordance with Australian Standard 2293-2019.
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Fire extinguishers must be mounted correctly, signed appropriately and have a current service tag attached.
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The fire extinguishers were mounted correctly, signed appropriately, has current service tags and have been maintained in accordance with Australian Standard 1851-2012.
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Fire hose reels must be mounted correctly, signed appropriately and have a service tag attached.
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The fire hose reels were mounted correctly, signed appropriately, has current service tags and have been maintained in accordance with Australian Standard 1851-2012.
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Hydrants must be undamaged, unobstructed and have current service tags attached.
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The hydrant valves were undamaged, unobstructed, has current service tags attached and have been maintained in accordance with Australian Standard 1851-2012.
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Sprinklers should be undamaged and unobstructed
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The sprinklers were undamaged and unobstructed.
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Boosters should be undamaged and unobstructed and have current service tags attached.<br>
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Boosters were undamaged, unobstructed and had current maintenance tags attached.
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Pump sets must be undamaged, unobstructed and have current service tags attached
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Pumpsets were undamaged and functioning correctly.
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Fire/Smoke doors must be undamaged, unobstructed and have current service tags.
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The fire and/or smoke doors were undamaged and unobstructed.
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The Fire Indicator Panel should not show any alarms, faults or isolations.
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The fire indicator panel did not show any alarms, faults or isolations.
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The Fire Indicator Panel should show an adjacent Fire Alarm Zone Map.
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An accurate Fire Alarm Zone Map detailing the fire detection plan is installed adjacent to the Fire Indicator Panel
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The Fire Indicator Panel should show a plaque detailing the performance solutions contained within the building.
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A plaque is adjacent the Fire Indicator Panel notifying the presence of the performance (alternative) solutions within the building.
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Smoke detectors must be undamaged, clear of obstructions and functioning correctly
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The smoke detectors were undamaged and clear of obstructions.
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Current maintenance records for Smoke & Heat Ventilation are available.
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Maintenance records for the Smoke & Head Ventilation system are available upon request.
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Current maintenance records for Standby Power are available.
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Maintenance records are available for the Standby Power System upon request.
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Current maintenance records for emergency lifts are available.
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Maintenance records are available for the emergency lifts upon request.
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If a Critical Defect Notice has been received, action been taken to rectify within one month.
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The building has received a critical defect notice and have made steps to rectify the defect within a month of the notice.
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Interim measures been put in place for the Critical Defect Notice?
