Information

  • Select date

  • Prepared by

  • Who did you consult on site:

  • Premier Inn Name & Address

  • Description of hotel e.g. Restaurant & PI in one building? Any Extension?

If the site has an annexe building complete a seperate form for all buildings

Details

  • Any shared occupancy or Means of Escape: (Provide detailed description)

  • Number of floors: (including ground)

  • Number of rooms:

  • Number of UA rooms:

  • Number of Passenger lifts:

  • Are there any Fire Fighting lifts?

  • UA room numbers and location: (inclluding approximate distance from refuge/temporary safe area and/or final exit): (include any that were once UA but have been changed on BART to a different room type).

  • Details of fire escape staircases: (including number, internal/external, where they discharge to? list by staircase and details below)

  • If there is an external fire escape staircase is there sufficient room on the external landing area to act as a temporary refuge area (whilst still allowing the final exit door to be closed)?

  • Details of any refuge areas provided (include location, any communication devices and number and location of Evac chairs):

  • Are there any restrictions to horizontal meanss of escape from the ground floor? E.g. steps out of fire exits?

  • Number on duty overnight currently (state week days & weekends if different): (include any security Teams and whether or not they are internal or external)

  • Details of anyone on sleepover or living on site:

  • If a refuge communication is installed, where is the location of the main panel? How close to the main front entrance is this?

  • Where is the main fire alarm panel located and is there a repeater panel, if so, where? (If the site has an annexe building describe how the fire alarm panel interacts with the main building or Restaurant e.g. sounder etc)?

  • Provide details of the fire evacuation procedures (including whether there is a staff/pre-alarm, autodial or a requirement to confirm a fire before the fire brigade will attend)

  • Estimated fire brigade response time:

  • Provide details of the relationship with the local Fire Authority (including any correspondance or comments relating to evacuation of disabled persons):

  • Does the site have any regular disabled guests (wheelchair users) who specifically request a UA room that is above ground floor?

  • Provide details of any extension plans of which the site are aware:

Photographs

  • 1. A general photo showing the Premier Inn / Restaurant
    2. An external photo showing the location of the Assembly Point to the building
    3. External photos showing where the fire exits discharge to
    4. Photos of front entrance / reception areas
    5. Photo showing refuge comms panel & it's relationship to the front door
    6. Photo showing fire alarm panel
    7. Photo of zone drawing (does the drawing reflect the site site as it is now)
    8. Photo of a refuge area, including a photo of the ccommunications device (take photos of each type)
    9. Photo showing location of aany annexe uilding in relation to the main building
    10. Any other photos that you think are relevant

    Take a copy of the plan of the building if posible.

  • Add media

  • List any other comments that you think are relevant:

  • If you find anything on site that might impact upon the numbers on duty, please phone Janis before you leave the site

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.