Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Monthly Fire Safety Inspection

  • Date Inspected:

  • Completed By:

  • Departments

  • Mark your departments with an (X)

WCP A

  • Shore services

  • WCP B

  • Administration

  • MSP WCP C

  • Camp

  • MSP

  • Exploration Camp

  • Technical Building

  • RSC

  • Jetty

  • Airstrip

  • MCCs & Substations

  • Logistic

  • Engineering

  • Others

FIRE FIGHTING SYSTEMS

  • Fire hydrants unobstructed

  • Fire hydrants wheels present/missing

  • Fire hydrants gaskets present

  • Fire hydrants lug functional

  • Fire hydrants obstructed/inaccessible

  • Fire hydrants damaged

  • Fire hydrants hose boxes condition good

  • Fire hydrants hoses present and in good condition

  • Fire hydrants hoses rolled correctly

  • Fire hydrants leaking

  • Fire hose reel nozzle missing

  • Fire hose reel unobstructed

  • Fire hose reel not rolled

  • Fire hose reel symbolic signs

  • Fire hose reel used for non-fire activities

  • Fire hydrants pumps working(e.g. diesel, electrical & jockey pump)

  • Fire hydrant last tested date:

  • Tested by:

  • Fire hose reels unobstructed

  • Fire hose reels nozzles present

  • Fire hose reels valves present

  • Fire hose reel last tested date:

  • Tested by:

  • Fire extinguisher visible and unobstructed

  • Fire extinguisher in place

  • Fire extinguisher hanged

  • Fire extinguisher seal and pin present

  • Fire extinguisher last inspected date:

  • Inspected by:

  • Fire extinguisher signage present?

  • Fire extinguisher signage 2.1m above floor level?

  • Fire extinguisher indicator needle ( green sector)

  • Fire extinguisher box or plastic cover present?

  • Fire extinguisher clear marked for the type of fire?

  • Fire extinguisher not more 1.2m max height and not less than 1m base

Management systems

  • Fire drill carried every six month?

  • Date of last fire drill:

  • Emergency assembly point present

  • Emergency evacuation plan in place

  • Employees familiar with their emergency evacuation plan?

Others

  • Emergency contact number in place

  • IMIU finding progress

  • Fire extinguisher covers

  • Fire Team member list present

  • Emergency evacuation alarm Present

  • ERT member name:

  • Signature:

  • Date:

  • Superintendent name:

  • Signature:

  • Date:

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.