Title Page
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Conducted on:
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Prepared by:
Monthly Checks:
Fire Exit Checks:
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FE 001 - Reception Door: Signage in place?
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Reason for Failure:
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FE 001 - Reception Door: Lighting in place and working?
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Reason for Failure:
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FE 002 - Close to Goods In: Signage in place?
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Reason for Failure:
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FE 002 - Close to Goods In: Lighting in place and working?
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Reason for Failure:
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FE 003 - Machine Assembly Area: Signage in place?
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Reason for Failure:
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FE 003 - Machine Assembly Area: Lighting in place and working?
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Reason for Failure:
Emergency Lighting Tests:
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Luminaire Numbers:
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Satisfactory?
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Nature of defect:
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ELTP 01 - Main Office Cupboard:
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ELTP 02 - Main Production Area, Close to the Electric Circuit Board:
Fire Extinguisher Checks:
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FEP 01 - Reception:
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Fault Description:
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FEP 02 - 1st Floor Main Office:
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Fault Description:
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FEP 03 - Pedestrian Entrance (Between Production and Office):
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Fault Description:
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FEP 04 - Fire Exit near to Goods In:
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Fault Description:
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FEP 05 - Racking Up Right near to Goods In:
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Fault Description:
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FEP 06 - Fire Exit near to Machine Assembly:
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Fault Description:
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Fire Blanket - Production Area Kitchen:
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Fault Description:
Other Checks:
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When was the last Fire Drill completed? Aim to complete drills every 6 months.
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Have there been any visits by the Fire and Rescue Service within the last month?
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What was the reason for the visit?
Sign Off:
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Sign below to confirm that all checks have been completed: