Title Page

  • Site conducted

  • Document No.

  • Audit Title

  • Contact person

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Maintenance records present/available?

  • Fire safety plan approved?


  • Hydrants?

  • Exterior exits?

  • Firefighters access? (Abloy box/other means)

  • Fire department connections?

  • Fire access route?

Alarm system

  • Automatic detection

  • Pull stations

  • Connection to outside agency

  • Date tested

  • Alarm system batteries

  • Alarm system control panel

  • Annunciation panel

Building life safety

  • Date serviced

  • Inspection tag attached

  • Fire extinguishers fully charged and operable

  • Sprinkler piping used as intended

  • Water distribution unblocked

  • Spare sprinkler heads on site

  • Sprinkler system control valves

  • Hose cabinets

Kitchen system

  • Commercial cooking equipment present?

  • Date tested

  • Manual handle present/unobstructed/ instructions present

  • Cleanliness


  • Exit lights

  • Exit signs

  • Exit doors

  • Fire escape

  • Egress routes illuminated

  • Exit doors


  • The openings in fire separations are protected with appropriate closures?

  • The closure consists of:

Building general

  • Combustibles

  • Seperations

  • Electrical wiring

  • Chimney and flue pipe

  • Type of heating

  • Combustible materials stored safely

  • Additional actions required:

  • Signature of inspector

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.