Tuesday Weekly Fire Test

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

STAFF MUST BE COMPETENT WITH ALARM PANEL IN STORE.

A MEMBER OF STAFF MYST BE AVAILABLE BETWEEN 08:15 & 08:45 ON UNIT TEST DATE

• Unit 19 (Image Express)

  Yes

  No

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Home Bargains

  Safe

  At Risk

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Unit 21

  Safe

  At Risk

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Mackey Eyecare

  Safe

  At Risk

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Unit23

  Safe

  At Risk

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Unit 24

  Safe

  At Risk

  N/A

• Confirm date and time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• New look unit 27/28

  Safe

  At Risk

  N/A

• Confirm date & time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Intersport

  Safe

  At Risk

  N/A

• Confirm date and time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Portadown Cares

  Safe

  At Risk

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Faith

  Safe

  At Risk

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Unit 31

  Safe

  At Risk

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Unit 32/33

  Safe

  At Risk

  N/A

• Confirm the date and time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Gordon's Chemist

  Safe

  At Risk

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• The Streat Café

  Safe

  At Risk

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Remarks

• Break glass

  Safe

  At Risk

  N/A

• Did the smoke Vents open when break glass was activated

  Yes

  No

  N/A

• Did all automatic doors move to the open position

  Yes

  No

  N/A

• Confirm Date & Time

  Date

• Sign to confirm test has been done & no faults found

  Sign

• Full Evacuation

• Enter any additional information here.

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign