Leichhardt Municipal Council Fire Safety Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Building Classification

  Select Uknown - See current use below Class 1a Class 1b Class 2 Class 3 Class 4 Class 5 Class 6 Class 7a Class 7b Class 8 Class 9a Class 9b Class 9c Class10a Class 10b Class 10c

  • Uknown - See current use below
  • Class 1a
  • Class 1b
  • Class 2
  • Class 3
  • Class 4
  • Class 5
  • Class 6
  • Class 7a
  • Class 7b
  • Class 8
  • Class 9a
  • Class 9b
  • Class 9c
  • Class10a
  • Class 10b
  • Class 10c

• External Photograph of Building

  Media

• Rise in Storeys

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30

• Type of Construction

  Type A

  Type B

  Type C

• Are there any fire safety measures in the building (smoke detectors, sprinklers, exit signs, emergency lighting, portable fire extinguishers, fire hose reels, fire hydrants

  Yes

  No

  N/A

• Are there any exits blocked?

  Yes

  No

  N/A

• Are there any accumulations of rubbish etc that may be a fire risk?

  Yes

  No

  N/A

Office Use - Fire Safety Officer

• Are the premises on Council Annual Fire Safety Statement (AFSS) register?

  Yes

  No

  N/A

• Are the premises on Council Fire Safety Investigation Register (FSIR)?

  Yes

  No

  N/A

• If not on FSIR:

  Yes

  No

  N/A

• Complete Fire Safety Matrix

  Yes

  No

  N/A

• Add to FSIR

  Yes

  No

  N/A