Guardian Safety Solutions - Evacuation Diagram Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• The following Audit outlines the requirements for details contained on an Evacuation Diagram as required under the xxxxxxxxxx

Minimum Elements

• Has the Asset register been checked for total equipment inclusion on evac diagram

  Yes

  No

  N/A

• Is the total amount for each item correct on the evac diagram

  Yes

  No

  N/A

• Have all symbols been updated

  Yes

  No

  N/A

• Has Logo Been updated?

  Yes

  No

  N/A

• Diagram Location/ Number

• Does the Diagram show the correct pictorial representation of the floor or area (3.5.5 (a))

  Yes

  No

  N/A

• Is the title correct "EVACUATION DIAGRAM" (3.5.5 (b))

  Yes

  No

  N/A

• The "YOU ARE HERE" location (Figure E3)

  Yes

  No

  N/A

• The designated exits in the facility, which shall be green (3.5.5 (d))

  Yes

  No

  N/A

• Does the Diagram show the following communications equipment, where installed - if not installed mark as N/A (3.5.5 (e))

• Warden points which shall be in red (3.5.5 (e i))

  Yes

  No

  N/A

• Manual Call points which shall be in red (3.5.5 (e ii))

  Yes

  No

  N/A

• Emergency call points which shall be white with a black boarder (3.5.5 (e ii))

  Yes

  No

  N/A

• Main Control Points or Emergency Warden Intercommunication System (EWIS) (3.5.5 (e iii))

  Yes

  No

  N/A

• Does the Diagram represent Fire Hose Reels - if not installed please mark as N/A (3.5.5 (f))

  Yes

  No

  N/A

• Fire Extinguishers which shall be red and represent the colour coding and description as used in AS1841.1 (3.5.5 (h)

  Yes

  No

  N/A

• Fire Blankets - if not installed please mark as N/A (3.5.5 (i)

  Yes

  No

  N/A

• Fire Indicator Panel if not installed please mark as N/A (3.5.5 (j)

  Yes

  No

  N/A

• Refuges, if not installed please mark as N/A 3.5.5 (k)

  Yes

  No

  N/A

• Validity Date (3.5.5 (l)

  Yes

  No

  N/A

• Location of Assembly area(s), either stated in words or pictorially represented as AA and AB in green (3.5.5 (m)

  Yes

  No

  N/A

• Does the Diagram represent North (3.5.6 (b)

  Yes

  No

  N/A

• A legend reflecting only the symbols used as per Figure E3 (3.5.5 (n) with correct labeling and descriptions

  Yes

  No

  N/A

• Diagrams with only minimum elements shall be a minimum A4 size (210 x 297 mm) with a minimum floor area representation of 200mm x 150 mm 30 00 mm square

• Does the Diagram meet the size requirements as outlined (3.5.7.1)

  Yes

  No

  N/A

Optional Elements

• Does the Diagram represent the direction of opening doors on designated exits (3.5.6 (a)

  Yes

  No

  N/A

• Does the Diagram represent first aid stations and kits as per Figure E3 (3.5.6 (c)

  Yes

  No

  N/A

• Does the Diagram represent hazardous Chemical Store (3.5.6 (d)

  Yes

  No

  N/A

• Does the Diagram represent Spill Response Kits ( 3.5.6 (e)

  Yes

  No

  N/A

• Emergency Information as documented in the Emergency Plan

  Yes

  No

  N/A

• For Example emergency telephone numbers, emergency response procedures, fire orders and procedures for the use of lifts in an evacuation during a fire

• Does the Diagram represent paths of travel as per Figure E3 (3.5.6 (g)

  Yes

  No

  N/A

• Does the Diagram represent Fire and Smoke Doors (3.5.6 (h)

  Yes

  No

  N/A

• Does the Diagram represent Fire Hydrants which shall be red ( 3.5.6 (h)

  Yes

  No

  N/A

• Diagrams with Minimum & optional Elements
  The minimum size shall be A3 ( 297 x 420 mm) with a pictorial representation of the floor area which shall be a minimum if 300 mm x 200 mm or 60 000 mm square.

• Does the diagram meet the size requirements as set out in 3.5.7.2

  Yes

  No

  N/A