Title Page

  • Development Description

  • DA No

  • CC Application No

  • Conducted on

  • Prepared by

  • Address of property at which the inspection was carried out
  • TYPE OF INSPECTION:
    This inspection was carried out for the purposes of clause 143B of the Environmental Planning and Assessment Regulation 2000.

Statutory checks

  • Does the development affect an existing building?

  • What class(es) is the existing building?

  • Provide details of the current fire safety measures in the existing building the subject of the inspection

  • Mark which fire safety measures were noted during the inspection.

  • Fire-resisting construction (incl. lightweight)

  • Lightwieght construction

  • Fire seals protecting openings in fire resisting components of the building

  • Access panels, door and hoppers to fire-resisting shafts

  • Automatic fail-safe devices

  • Magnetic door trips/holders

  • Mechanical air-conditioning trips

  • Smoke and heat ventilation

  • Gas supply automatic cut-offs

  • Automatic fire detection and alarm systems

  • Automatic fire suppression systems

  • Emergency Lifts

  • Emergency Lighting

  • Emergency warning and intercommunication systems

  • Exit Signs

  • Exit doors

  • lever-action door handles

  • 'panic' (push) bar latch mechanism

  • Fire alarm monitoring (connected to service)

  • Fire control centre/room

  • Fire Dampers

  • Fire doors

  • Fire hose reel systems

  • Fire Hydrant Systems

  • Fire Shutters

  • Fire Windows

  • Lightweight construction

  • Mechanical air handling systems

  • Perimeter vehicle access for emergency vehicles

  • Portable fire extinuishers

  • Safety curtains in proscenium openings

  • Smoke alarms and/or heat alarms

  • Smoke dampers

  • Smoke doors

  • Solid core doors

  • Standby power systems

  • Wall-wetting sprinkler and drencher systems

  • Warning and operaitonal signs

  • Other

  • Please specify

  • Provide details of the current fire safety measures in the existing building the subject of the inspection

  • Has any building or subdivision work authorised by the relevant development consent commenced on site?

  • Provide details of the works that have been carried out.

General Site Matters

  • Is the development clear of any sewer main? (particularly access/inspection points locations)

  • Is the development clear of overhead or underground powerlines?

  • General Notes

  • Photos

  • Name and signature of individual who carried out inspection on behalf of Council:

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