Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Monthly Fire Safety Inspection
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Date Inspected:
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Completed By:
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Departments
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Mark your departments with an (X)
WCP A
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Shore services
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WCP B
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Administration
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MSP WCP C
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Camp
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MSP
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Exploration Camp
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Technical Building
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RSC
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Jetty
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Airstrip
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MCCs & Substations
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Logistic
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Engineering
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Others
FIRE FIGHTING SYSTEMS
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Fire hydrants unobstructed
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Fire hydrants wheels present/missing
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Fire hydrants gaskets present
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Fire hydrants lug functional
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Fire hydrants obstructed/inaccessible
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Fire hydrants damaged
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Fire hydrants hose boxes condition good
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Fire hydrants hoses present and in good condition
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Fire hydrants hoses rolled correctly
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Fire hydrants leaking
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Fire hose reel nozzle missing
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Fire hose reel unobstructed
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Fire hose reel not rolled
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Fire hose reel symbolic signs
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Fire hose reel used for non-fire activities
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Fire hydrants pumps working(e.g. diesel, electrical & jockey pump)
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Fire hydrant last tested date:
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Tested by:
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Fire hose reels unobstructed
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Fire hose reels nozzles present
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Fire hose reels valves present
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Fire hose reel last tested date:
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Tested by:
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Fire extinguisher visible and unobstructed
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Fire extinguisher in place
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Fire extinguisher hanged
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Fire extinguisher seal and pin present
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Fire extinguisher last inspected date:
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Inspected by:
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Fire extinguisher signage present?
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Fire extinguisher signage 2.1m above floor level?
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Fire extinguisher indicator needle ( green sector)
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Fire extinguisher box or plastic cover present?
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Fire extinguisher clear marked for the type of fire?
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Fire extinguisher not more 1.2m max height and not less than 1m base
Management systems
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Fire drill carried every six month?
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Date of last fire drill:
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Emergency assembly point present
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Emergency evacuation plan in place
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Employees familiar with their emergency evacuation plan?
Others
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Emergency contact number in place
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IMIU finding progress
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Fire extinguisher covers
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Fire Team member list present
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Emergency evacuation alarm Present
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ERT member name:
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Signature:
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Date:
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Superintendent name:
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Signature:
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Date: