Places for People-Monthly Record Of Inspection version 04/2014

Information

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

1.Fire Safety Equipment

1.1 Is the Fire Alarm Panel operational and not showing any faults:
Summary of P1 fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of HO/HOO):
Order No:for P1 Reported & Date Raised:
1.2. Which Fire Alarm, break glass call point and/or smoke/alarms/vents were tested:
Details/confirm Call Point tested during this inspection:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for P1 Reported Repair & Date Raised:
1.3. Do Automatic Doors 'fail to safe':
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for P1 Reported Repair & Date Raised:
1.4. Emergency Lighting tested:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for P1 Reported Repair & Date Raised:
1.5. Are all Fire Extinguishers free fro damage,situated correctly,complete with tamper tag,within'green zone' and 'in date' on test label:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:

2. Fire Safety Issues

2.1. Can final exit doors be opened without the need for a key and lead to a place of safety,is the self closer operating correctly :
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.2. Are all fire resisting walls and ceilings intact:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.3. Are all plugs and sockets free from burn/scorch marks:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.4. Are all Fire Doors operating correctly and not wedged open:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.5. Are all self-closers operating correctly:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.6. Is all normal task lighting working:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.7. Are all portable appliances provided by PfP PAT tested and their leads in good order:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.8. Are all Fire Action Notices,Lift Notices(if relevant).& Fire Exit Directional Signage displayed :
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.9. Are all doors to dedicated storage cupboards kept lock shut:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.10. General Checks - are all Electrical,Gas,Riser Cupboards free from damage and stored items/junk:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
2.11.Communal Area's - Are they free from combustibles,gas bottles,portable heaters and secure from unauthorised access:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:

3. Health & Safety issues

3.1.Are internal walkways and fire doors free from obstructions and trip hazards:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
3.2. Are all carpets / floor mats in good condition and not trip hazards:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
3.3. Are all stairways free from damage and trip hazards:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
3.4. Are all banisters/ newels free from damage and secure :
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
3.5. Is the building free from any leaks,causing potential hazards or electrical problems( both internal and external ):
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
3.6. Are all cables routed so as not to cause trip hazards:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised:
3.7. Lifts - Is the emergency alarm / voice / telephone system operational - has test been carried out:
Summary of fault reported.(fault/issue reported,location,who reported to CSC/NO/HOO,including name of NO/HOO):
Order No: for Reported Repair & Date Raised: