Title Page

  • Prepared by

  • Conducted on

  • Location
  • Date of Previous Inspection

  • Please use this form in conjunction with the Fire Inspection Guidance Notes. In the Actions Taken section, please include who reported, to whom, when and the works order number (where appropriate and include expected completion date).

  • Are the door entry systems working correctly, I.e. do the doors self-close and lock? (If the door entry system is damaged/faulty report to repairs immediately)

  • Actions taken to address issues identified.

  • Tap to add photo.

  • Are all internal and main communal doors closed at time of visit? (With the exception of magnetic holders/other installed hold open devices)

  • Actions taken to address issues identified.

  • Are the internal/external corridors and escape routes clear? (See Communal Escape Route Management Doc D)

  • Actions taken to address issues identified.

  • Tap to add photo.

  • Are the communal cupboards clear of combustible items and kept locked? (This includes all plant rooms which must be kept sterile at all times)

  • Actions taken to address issues identified.

  • Tap to add photo.

  • Are the fire signs present and still intact? (Running man/escape direction, no smoking, do not use lift in the event of fire, break glass in event of fire)

  • Actions taken to address issues identified.

  • Tap to add photo.

  • Are there Fire Action Notices displayed through out the building? Are they complete and show all the correct details? (See Fire Safety Signage Doc M)

  • Actions taken to address issues identified.

  • Is the internal lighting working?

  • Actions taken to address issues identified.

  • Are the emergency lights working correctly?

  • Actions taken to address issues identified.

  • If the building contains a fire panel, is it showing any faults? (If the panel is showing a fault please report this to repairs immediately)

  • Actions taken to address issues identified.

  • Does the Fire Panel display the last/next service dates (record dates in Actions Taken Section) and is the fault reporting telephone number displayed? (See Doc J).

  • Actions taken to address issues identified.

  • Are the AOV's closed? (If they are open investigate why and close using a fireman's switch where there is one - if not report to repairs)

  • Actions taken to address issues identified.

  • If extinguishers are present are they secure, in date for test, free from damage with pin intact and correct sign displayed? (If the extinguishers are damaged or out of date for service please report this to M&E contracts team. Don't forget we have extinguishers in high risk rooms - I.e plant rooms)

  • Actions taken to address issues identified.

  • Tap to add photo.

  • Is all the waste correctly stored within the appropriate rubbish bin/designated bin store area?

  • Actions taken to address issues identified.

  • Tap to add photo.

  • Does anything in the designated bin store area present a fire risk/arson hazard?

  • Actions taken to address issues identified.

  • Tap to add photo.

  • Is any external escape stairs free from obstructions, slip hazards, corrosion and in a good state of repair? (Look for moss/algae build up, flaking paint, items stored on or under and signs of damage)

  • Actions taken to address issues identified.

  • Tap to add photo.

  • Are the external pathways leading from the fire exits clear, slip and trip hazard free? (Don't forget external escape routes such as balconies)

  • Actions taken to address issues identified.

  • Tap to add photo.

  • Additional comments on any issues relating to Health and Safety.

  • Tap to add photo.

  • I certify that the above Fire Safety checks have been conducted and all appropriate findings and actions have been recorded.

  • Tap to sign.

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