Title Page

  • Document No.

  • Conducted on

  • Audit Title

  • Report prepared for

  • For the attention of

  • Site

  • Location
  • Prepared by

PASSIVE FIRE

    FIRE RATED AREA IDENTIFIED
  • LOCATION
  • ASSET ID

  • COMPARTMENT COMPRISES OF?

  • HAVE DRAWINGS INDICATING FIRE RATED AREAS BEEN PROVIDED?

  • TOTAL NUMBER OF PENETRATIONS ?

  • TYPE OF PENETRATIONS PRESENT?

  • ARE ANY PENETRATIONS UNSEALED OR ARE THERE ANY OTHER DEFECTS PRESENT?

  • IS ALL EXISTING FIRE STOP CERTIFIED AND LABELLED INCLUDING INSTALLER, MATERIAL USED, FRL AND DATE INSTALLED?

  • DEFECT PHOTOS

  • IS THIS CONSIDERED AN OLD OR NEW PENETRATION ?

  • ACTION TO RECTIFY?

  • EQUIPMENT REQUIRED TO ACCESS ISSUE IDENTIFIED?

  • COMMENTS

  • COMPLIANT?

SIGNED

SUMMARY

  • AUDITOR SIGNATURE

  • CLIENT SIGNATURE

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.