HCC : General R/A : Room Check Sheet

Location Details

• Site (optional)

• Block (if required)

• Room / Area Name

Additional Rooms

• Enter any additional rooms, such as attached storage areas.

• Additional Rooms

General Equipment

• There are sufficient First Aid boxes?

  Yes

  No

  N/A

• First Aid boxes have been checked within the past month?

  Off

  On

Mechanical and Electrical Systems

• There are gas systems within the area being checked?

• The gas supply is interlinked to the fire alarm system?

  Yes

  No

  N/A

• There are electrical appliances within the area being checked?

• All plugs are in good condition?

  Yes

  No

  N/A

• Leads to appliances are free from damage or kinks?

  Yes

  No

  N/A

• Portable appliances are mechanically sound?

  Yes

  No

  N/A

• There are no mobile heaters with exposed elements (or bar type fires)?

  Yes

  No

  N/A

• No multi-block adapters are in use?

  Yes

  No

  N/A

• Extension leads are not daisy chained?

  Yes

  No

  N/A

• There is evidence that appliances have been PAT checked?

  Yes

  No

  N/A

• There is electrical switch gear within the area being checked (i.e. fuseboards)?

• Electrical switch gear is unobstructed?

  Yes

  No

  N/A

• Fixed electrical distribution has been checked within the past five years by a competent person, and has been marked up accordingly?

  Yes

  No

  N/A

• Stage lighting systems are in use within the area?

• Where re-wireable dimmer packs are used, they are checked by a competent person annually?

  Yes

  No

  N/A

• Stage lights are PAT checked at least every twelve months?

  Yes

  No

  N/A

• Stage lighting is located away from curtains, and does not pose a fire risk?

  Yes

  No

  N/A

External Checks