Public Building Assessment

• Document No.

• Public Building Name

• Address
  Address

• Conducted on

  Date

• Officer

• Public building use

• Maximum number of persons permitted

• Contact person

• Licensed Premises<br>

  Yes licensed

  Not licensed

Certificate and Documentation

• Certificate of approval prominently displayed.

  yes

  no

• Number of persons at time of inspection

• Exit sign log book

  yes

  no

• Evacuation plan

  yes

  no

  n/a

• Emergency lighting log book

  yes

  no

General Provisions & Maintenance

• Modification of building since last assessment

  no

  yes

• Change of use from approval

  no

  yes

• Stage curtains fire retardant

  yes

  no

  n/a

• Exterior building satisfactory

  yes

  no

• Interior building satisfactory

  yes

  no

• Equipment storage satisfactory

  yes

  no

• Refuse storage & disposal facilities adequate

  yes

  no

• Exit doors easily opened

  yes

  no

Exits

• Approved latches & locks

  yes

  no

• Exit to open space and pathways unobstructed

  yes

  no

• Exit signs on all designated exits

  yes

  no

• Exit signs clearly visible

  yes

  no

• Exit signs illuminated

  yes

  no

Seating

• Aisles on both sides of seat rows

  yes

  no

  n/a

• Rows of 10-42 seats

  yes

  no

  n/a

• Seating secured to the floor or fastened in groups of at least four seats

  yes

  no

  n/a

• Aisles clear to exits and of uniform width

  yes

  no

  n/a

Lighting / Electrical

• Adequate illumination

  yes

  no

• Switch protection from the public

  yes

  no

  n/a

• Emergency lighting

  yes

  no

• Power cables inaccessible to public

  yes

  no

• Switchboard correctly labelled

  yes

  no

Fire Prevention and Control

• Fire extinguishers and hose reels in service

  yes

  no

• Fire blanket available in kitchen

  yes

  no

  n/a

• Smoke control devices

  yes

  no

  n/a

Ventilation / Heating

• Fans fixed and guarded

  yes

  no

  n/a

• Fans - ceiling 2.4m above floor

  yes

  no

  n/a

• Heaters 2.1m from floor

  yes

  no

  n/a

Sanitary Facilities

• Facilities in good repair and clean

  yes

  no

• Gender signage provided

  yes

  no

• Adequate illumination provided

  yes

  no

• All facilities accessible

  yes

  no

Steps and Landings

• Hand rails and balustrades satisfactory

  yes

  no

  n/a

• Raised areas and tiered seating provided with enclosing wall or guard rail

  yes

  no

  n/a

• Step treads adequate

  yes

  no

  n/a

Actions

• Follow up action

  Select Nil Letter Reinspection Direction Prosecution

  • Nil
  • Letter
  • Reinspection
  • Direction
  • Prosecution

• I have read and understood the contents of this assessment

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