Title Page
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Audit Title
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Document No.
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Conducted on
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Prepared by
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Location
Occupants Profile
- Occupants
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Name
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Normal hours of access (start)
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Normal hours of access (end)
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Number of occupants
Site Overview
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Site Plan
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Construction of the building
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Approximate age of building in years
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Number of floors
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Approximate footprint of building in m2
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Approximate footprint of the facility in m2
Sources of Fuel
- Fuel Source
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Name
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Example
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Type
- Highly flammable substances
- Flammable Substances
- Waste Products
- Plastic and Rubber
- Timber Products
- Paper Products
- Other
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Other
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Control measures in place
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Are control measures suitably sufficient
Sources of Oxygen
- Oxygen Source
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Name
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Example
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Type
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Other
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Control measures in place
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Are control measures suitably sufficient
Sources of Ignition
- Source of ignition
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Name
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Example
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Type
- NSG performed hot works
- Contractor performed hot works
- Contractor performed electrical works
- Potential of arson
- Potential for use of faulty of damaged electrical equipment
- Use of portable heaters
- Cooking or incinerating processes
- Use of externsion leads (overloading)
- Smoking on site
- Other
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Other
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Control measures in place
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Are control measures suitably sufficient
People at Risk
- Group
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- Lone Worker
- Disabled Persons
- Young Persons
- Sleeping Occupants
- Occupants in remote areas of facility
- Gym Users
- Site Visitors
- Contractors
- Ships Crew
- Other
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Other
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Nature of risk
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Control Measures
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Are control measures suitably sufficient?
Fire fighting and detection
- Equipment
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Equipment Type
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Is equipment subject to a suitably sufficient inspection and maintenance regime by a 3rd party specialist?
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Is equipment in good working order?
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Is equipment adequately signed?
Means of escape
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Do all doors on escape route open in direction of travel?
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Are all exit routes and exits adequately signed?
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Are all escape routes kept clear?
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Are there sufficient fire notices and fire plans through out the site?
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Is main muster point adequately sign posted?
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Is an alternative muster point available?
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Are all fire doors unimpeded (e.g. not wedged open)?
Testing and Drills
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Is fire alarm tested weekly?
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Is a record kept of the test?
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Does record show which call points have been tested?
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Are test evacuations being carried out every 6 months?
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Is a record of each evacuation being kept?
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Are evacuation logs being reviewed by senior management to identify problems and improvement opportunities?
Training
- Fire Wardens
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Full Name
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Company
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Designated Area
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Additional Fire Warden Information
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Are staff inducted on basic fire safety and emergency plans?
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Are all visitors and contractors briefed on fire evacuation procedures and routes?
