Title Page

  • Conducted on:

  • Prepared by:

Monthly Checks:

Fire Exit Checks:

  • FE 001 - Reception Door: Signage in place?

  • Reason for Failure:

  • FE 001 - Reception Door: Lighting in place and working?

  • Reason for Failure:

  • FE 002 - Close to Goods In: Signage in place?

  • Reason for Failure:

  • FE 002 - Close to Goods In: Lighting in place and working?

  • Reason for Failure:

  • FE 003 - Machine Assembly Area: Signage in place?

  • Reason for Failure:

  • FE 003 - Machine Assembly Area: Lighting in place and working?

  • Reason for Failure:

Emergency Lighting Tests:

  • Luminaire Numbers:

  • Satisfactory?

  • Nature of defect:

  • ELTP 01 - Main Office Cupboard:

  • ELTP 02 - Main Production Area, Close to the Electric Circuit Board:

Fire Extinguisher Checks:

  • FEP 01 - Reception:

  • Fault Description:

  • FEP 02 - 1st Floor Main Office:

  • Fault Description:

  • FEP 03 - Pedestrian Entrance (Between Production and Office):

  • Fault Description:

  • FEP 04 - Fire Exit near to Goods In:

  • Fault Description:

  • FEP 05 - Racking Up Right near to Goods In:

  • Fault Description:

  • FEP 06 - Fire Exit near to Machine Assembly:

  • Fault Description:

  • Fire Blanket - Production Area Kitchen:

  • Fault Description:

Other Checks:

  • When was the last Fire Drill completed? Aim to complete drills every 6 months.

  • Have there been any visits by the Fire and Rescue Service within the last month?

  • What was the reason for the visit?

Sign Off:

  • Sign below to confirm that all checks have been completed:

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