Title Page

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Fire Plans / Maps / Evacuation Paths

  • Is there an emergency evacuation plan for this site?

  • Is it displayed in locations where employees, contractors and visitors are able to view the diagrams?

  • Are they positioned at a height no less than 1200mm and no more of 1600mm from the plane of the floor?

  • Has this site been altered within the period 5 years, do the current diagram Showa y changes?

  • Is the validity date within 5 years of audit?

  • Is the path of evacuation marked out in GREEN and YOU ARE HERE and ASSEMBLY POINT clearly visible?

  • Is the evacuation diagram A3 in size?

  • What size is the diagram?

  • Notes:

Test & Tag

  • Completed?

  • Compliant to AS 3760?

  • Please provide evidence

  • Notes:

Portable Fire Testing

  • Completed?

  • Compliant to AS 1851?

  • Please provide evidence?

  • Notes:

Exit & Emergency Lights

  • Completed?

  • Log book present?

  • Notes:

  • Testing as per AS 2293.2

  • Notes:

  • Design as per AS 2293.1

  • Notes:

First Aid

  • first aid kit present?

  • Notes:

  • How many staff trained?

  • Compliant?

  • Notes:

  • Please provide evidence

Warden Training

  • Any trained staff?

  • Notes:

  • Any posters visible with photos

  • Notes:

Fire safety advisors

  • See warden training

Fixed Fire Panels

  • Present?

  • Evidence of servicing compliant to 1851

  • Speak with Manager/Owner/Franchisee - who services these?

Ladder Inspection

  • Present

  • In good working order?

  • Fit for purpose?

Working from heights

  • Any working at heights work completed on site?

  • Harness present?

  • Inspected and tagged?

  • Please provide photo evidence

  • Notes:

  • Required training completed?

  • Notes:

  • Scissor lifts present?

  • Notes:

  • Any hoist present?

  • Inspection when and where?

  • Records

  • Notes:

Other

  • Racking inspections?

  • Notes:

  • Inductions?

  • Notes:

PPE

  • Do staff use PPE when loading/unloading

  • Notes:

  • Any present?

  • Fit for purpose?

  • Notes:

First Aiders Registration

  • All First Aid training current?

  • Notes

Traffic Management

  • Are there traffic management issues for staff of Good Guys at this site?

  • Are there traffic management devices? ie witches hats/bollards/barricades?

  • Staff trained?

Notes

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.