Title Page

  • Scheme Name

  • Conducted on

  • Prepared by

  • Has the Fire Alarm been tested and passed?

  • Location of call point tested (if applicable)

  • Do the automatic doors 'fail to safe'?

  • Has the smoke ventilation system been tested and passed?

  • Is the normal task lighting working?

  • Are all escape routes clear?

  • Has all water flushing been carried out and passed?

  • Record Fridge Temperature (detail actions if not below 5 Degrees Celsius)

  • Record Freezer Temperature (detail actions if not at or below -18 Degrees Celsius)

  • Are any changes needed to PEEPs? Do not reference customer names.

  • Details/Actions if Applicable

  • Are any changes needed to the scheme key audit?

  • Details/Actions if Applicable

  • Are there any other items requiring action as a result of today's weekly testing?<br>

  • Completed and Signed by:

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.