Information
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Cinema:
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Conducted on:
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Vue Week no:
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Month / Year
FIRE ALARM ACTIVATION TEST
Emergency Lighting - Energise the lights for 5 minutes by simulating a failure of the mains power supply
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Emergency lighting working in all screens
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Initials of the checker
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Date of check
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Emergency lighting working in all public areas
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Initials of the checker
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Date of check
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Emergency lighting working in all evacuation routes and above all fire doors
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Initials of the checker
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Date of check
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Emergency lighting working in all staff areas, stores and preparation areas
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Initials of the checker
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Date of check
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Stage 1 alarm activated and audible
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Initials of the checker
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Date of check
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Stage 2 alarm activated and audible
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Initials of the checker
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Date of check
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Stage 3 alarm activated and audible
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Initials of the checker
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Date of check
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Heating and ventilation systems shut down at appropriate stage
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Initials of the checker
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Date of check
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Alarm panels function correctly
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Initials of the checker
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Date of check
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Projectors stop and revert to standby mode
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Initials of the checker
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Date of check
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Automatic door releases operate at the appropriate stage
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Initials of the checker
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Date of check
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Emergency door release mechanisms to secure staff areas operate in an emergency
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Initials of the checker
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Date of check
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Fire dampers / shutters close at the appropriate stage
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Initials of the checker
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Date of check
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Where applicable the red care line is working
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Initials of the checker
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Date of check
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Lifts return to the ground floor and open doors
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Initials of the checker
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Date of check
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TV screens and poster cases shut down or turn off at the appropriate stage
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Initials of the checker
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Date of check
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Escalators shut down at the appropriate stage
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Initials of the checker
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Date of check
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Six monthly evacuation drill completed
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Initials of the checker
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Date of the last evacuation drill
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Date of check
HEALTH & SAFETY
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Only company approved cleaning chemicals in use
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Initials of the checker
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Date of check
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Face screen, gloves and apron available for xenon bulb changes
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Initials of the checker
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Date of check
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First aid boxes, including spills and sharps kits, checked and stocked
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Initials of the checker
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Date of check
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Contractors and visitors using signing in book correctly
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Initials of the checker
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Date of check
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Sentinel cold water temperatures below 20 degrees centigrade after 2 minutes (record temp)
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Temperature recorded (degrees centigrade)
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Initials of the checker
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Date of check
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Sentinel hot water temperatures above 50 degrees centigrade after 1 minutes (record temp)
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Temperature recorded (degrees centigrade)
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Initials of the checker
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Date of check
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Shower heads descaled and disinfected
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Initials of the checker
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Date of check
CORRECTIVE ACTIONS
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Corrective Actions
Corrective action
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Details of the corrective action
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Photo(s) of the corrective action
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Who is responsible for completion
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When will the issue be rectified
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Date of completion
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Initials of the checker, once complete
All checks have been completed and corrective actions recorded for all non compliances
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GM's signature
