Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Position of insulated panel

  • Core Material

  • Provide details

  • FM Class 1

  • Core Thickness (mm)

  • Floor Area (%)

  • Surface Area (%)

  • Max Wall Height (m)

  • Usage

  • Provide detail

  • Condition

  • Hot/Cold Work Procedure

  • Regular Self-Inspections

  • Panel faces along all sections are in good condition with no exposed core material

  • All electrical cabling/wiring is fully enclosed within approved plastic or metal conduit with appropriate seals/flashing/capping where it passes through insulated panels

  • All flues have appropriate clearances and flashing/capping through insulated panels

  • Diffusers (covers) are fitted to all light bulbs/lamps so that any failure of a bulb/lamp, or its associated ballast, will not result in heated components potentially falling onto combustible items stored below

  • Where insulated panels form external wall sections of a building, combustible items and/or rubbish bins are not stored within 6m of these external panels

  • All heat sources are kept at least 2 metres from any insulated panels

  • Battery chargers are positioned 2 metres from any insulated panels or non-combustible material such as Fyrchek or checkerplate has been installed between the chargers and the insulated panels

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.