Title Page

  • Conducted on

  • Prepared by

  • Location
  • Site

  • Name

  • Date

Areas of work

Section 1 - Signage

  • Are all emergency exit signs illuminatedSalmat -

  • Safety signage is clean and unobstructed

  • Safety signage is clear and not faded

  • Fire extinguishers and hose reels are clearly signed

  • Hazardous areas are clearly signed

Section 2 - Fire Safety Systems

  • Emergency exits are unobstructed on both sides

  • Fire hydrants, extinguishers and hose reels are accessible

  • Fire hydrants, extinguishers are hose reels are in good condition

  • Fire equipment has been inspected and in date (6 monthly intervals)

  • Fire indicator panel has all zones clear

  • Sprinkler water supply valves are chained and padlocked

  • Flammable materials are stored in nominated areas

  • Warden and first aider details are accurate and readily available

  • Assembly areas are clearly identifiable

  • Assembly areas are unobstructed

Section 3 - Other emergency response

  • Spill kits are readily available and maintained

  • Emergency eyewash and shower are unobstructed

  • Emergency eyewash and shower in working condition

  • Electrical testing and tagging has been completed (sample a few electrical cables)

  • Emergency stops on plant and equipment is in working order

  • Safety Data Sheets are available for hazardous chemicals

  • Comments / Other Observations

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