Title Page

  • Conducted on

  • Prepared by

  • Location
  • Add location
  • Select date

Building details

  • Add media

  • How many Blocks?

  • How bedrooms ? (total)

  • How many kitchens ? (total)

  • How many stairwells ?

  • How many floors ?

  • Add media

Fire Alarm

  • Panel make ?

  • Add media

  • How many panels ?

  • Panel age ?

  • Device Protocol ?

  • Add media

  • How many loops ? (total)

  • General conditions and observations

  • System Condition

  • Add media

Smoke Vents

  • Controller make ?

  • Add media

  • Actuator make ?

  • Add media

  • How many shafts ?

  • How many floors ?

  • Add media

  • Vent type ?

  • Add media

  • How many Vents?

  • Add media

  • Add media

  • How many controllers ?

  • System Condition

Extinguishers/Blankets

  • How many extinguisher ?

  • Add media

  • How many blankets ?

  • Add media

  • Kitchen suppression ?

  • Add media

Dry Risers

  • How many inlets ?

  • How many outlets ?

CCTV

  • How many DVR/NVR ?

  • Make ?

  • How many cameras ?

  • Any issues ?

Access Control

  • Make ?

  • Add media

  • How many doors ?

  • Reader type ?

  • Checked database and comments

  • Add media

Emergency Lights

  • Light types ?

  • Add media

  • How many Lights approx

  • Add media

  • Add drawing

Disabled Alarm

  • Make ?

  • Add media

  • How many ?

  • Add drawing

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.