• Site conducted

  • Tennant

  • Address

  • Conducted on

  • Prepared by

Fire Protection Systems

  • 1. Are the following clean, working and undamaged and not expired?:

  • A - Portable Fire Extinguishers

  • B - Fire Hose Reels

  • C - Fire Doors

  • D - Fire Alarm System

  • E - Fire Sprinkler System

  • F - Early Warning Intercommunication System (EWIS)

  • G - Emergency Lighting & Exit Signs

  • 1. Are Fire Cupboards (fire hose reel storage, etc) clean and free from stored materials and rubbish?

  • 2. Are Portable Fire Extinguishers and Fire Hose Reels marked with a location and identification marker?

Emergency Management

  • 1. Is the emergency evacuation plan clearly displayed in all areas?

  • 2. Are ALL Fire Doors operational?

  • 3. Are the means of escape paths and emergency exits clear?

Interior Environment

    Office/ Room
  • 1. Are floors and surfaces clean, working and undamaged?

  • 2. Are walls clean, working and undamaged?

  • 3. Are ceilings clean, working and undamaged?


  • Are stairways and aisles kept clear and useable?

  • Are the AC vents clean working and undamaged?

Hazardous Substances

  • 1. Is there any cooking oil/ grease/ other hazardous substance onsite? If so what?

  • 2. Are the substances stored correctly?

Exterior Environment

  • 1. Are exterior walls and surfaces clean and in good repair?

  • 2. Are paths and external stairs in good condition?

  • 3. Are parking areas clean & tidy?

  • 4. Are driveways clear and free of hazards?

  • 5. Are landscaped areas well presented & free from rubbish?

Plant & Equipment

  • 1. Are all access ladders and stairways in good condition?

  • 2. Are the lifts and escalators serviced frequently?

  • 3. Are ALL plant rooms neat and tidy, free from debris and trip hazards?

Other Hazards

  • Please make a note of any hazards not already identified in this report.

General Comment

  • Please make a note of any issues not already identified in this report.

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.