Monthly - Evacuation Chairs Inspection

• Inspection Date Carried Out On

  Date

• Carried Out By

• Site Location
  Address

Evacuation chair 1

• Has the the chair been external checked within the last year

  Yes

  No

  N/A

• Is Dust Cover in situ and free from dust

  Yes

  No

• Are all Protective Cups/Nuts & Bolts in place and secure

  Yes

  No

• Are Wall Hooks securely fixed to wall

  Yes

  No

  N/A

• Does the Chair unfold smoothly and footrest (where present) open and bolt securely

  Yes

  No

• (4 Wheel Transit Chair Only) Are Handle Locking Pins each side present and attached to the tethering cable

  Yes

  No

  N/A

• Is there any visible damage to the seat fabric

  No

  Yes

• Are seat belts free from wear and release button works correctly

  Yes

  No

• Are any of the wheels broken/damaged or seized

  No

  Yes

• Is the framework safe and secure

  Yes

  No

• Have the Locking Clips been opened and lubricated with wd40

  Yes

  No

• Action Required:

Signed Off

• Signature:

  Sign

Evacuation chair 2

• Has the the chair been external checked within the last year

  Yes

  No

  N/A

• Is the Dust Cover in situ and free from dust

  Yes

  No

• Are all Protective Caps/Nuts & Bolts in place and secure

  Yes

  No

• Are Wall Hooks securely fixed to wall

  Yes

  No

  N/A

• Does the Chair unfold smoothly and footrest (where present) open and bolt securely

  Yes

  No

• (4 Wheel Transit Only) Are Handle Locking Pins each side present and attached to the tethering cable

  Yes

  No

  N/A

• Is there any visible damage to the seat fabric

  No

  Yes

• Are Seat Belts free from wear and release button works correctly

  Yes

  No

• Are any of the wheels broken/damaged or seized

  No

  Yes

• Is the framework safe and secure

  Yes

  No

• Have the Locking Clips been opened and lubricated with wd40

  Yes

  No

• Action Required:

Signed Off

• Signature:

  Sign

Evacuation chair 3

• Has the the chair been external checked within the last year

  Yes

  No

  N/A

• Is the Dust Cover in situ and free from dust

  Yes

  No

• Are all Protective Cups/Nuts & Bolts in place and secure

  Yes

  No

• Are Wall Hooks securely fixed to wall

  Yes

  No

  N/A

• Does the Chair unfold smoothly and footrest(where present) open and bolt securely

  Yes

  No

• (4 Wheel Transit Chair Only) Are Handle Locking Pins each side present and attached to the tethering cable

  Yes

  No

  N/A

• Is there any visible damage to the seat fabric

  No

  Yes

• Are seat belts free from wear and release button works correctly

  Yes

  No

• Are any of the Wheels broken/damaged or seized

  No

  Yes

• Is the framework safe and secure

  Yes

  No

• Have the Locking Clips been opened and lubricated with wd40

  Yes

  No

• Action Required:

Signed Off

• Signature

  Sign