VS(NIFM)-FO-CHK-005 - QOS Inspection - Fire Activation Systems

• Site ID No

• Site

• AM Responsible

• Date Inspected

  Date

• Inspected by

• Role / Position

Last Service Information

• Last Service Date

  Date

• Performed by (Company)

• Work Order

• Work Instruction / Form

Last Reactive Maintenance information

• Last RM Date

  Date

• Performed by (Company)

• Work Order

• Work Performed

Inspection Checks

• Is evidence of the last PM attendance registered in the Site Entry Log?

  Yes

  No

  N/A

• Add media

  Media

• Is evidence of the last RM attendance registered in the Site Entry Log?

  Yes

  No

  N/A

• Add media

  Media
Are log books present and are entries consistent with the current expected PM program for each of the following systems:

• Fire Indicator Panel & Evacuation System(s)?

  Yes

  No

  N/A

• VESDA systems?

  Yes

  No

  N/A

• Fire Pump sets?

  Yes

  No

  N/A

• Gas Detection systems?

  Yes

  No

  N/A

• Stairwell pressurisation systems?

  Yes

  No

  N/A

• Hydrant / Sprinkler systems?

  Yes

  No

  N/A

• Fire Doors?

  Yes

  No

  N/A

• Emergency and Exit lighting?

  Yes

  No

  N/A

• Add media

  Media

• Are any significant visible/audible plant / fire equipment defects recorded in the log records?

  Yes

  No

  N/A

• Add media

  Media

• After reviewing the equipment service logs/histories is the history clear and traceable for each system?

  Yes

  No

  N/A

• Add media

  Media

• Have Work Orders / SWIM entries been registered to capture & trigger follow up of any current Alarms or Faults observed or recorded in the log books?

  Yes

  No

  N/A

• Add media

  Media

• Where equipment is currently tagged out of service or shut down do “Out of Service” tags (or Warning Tags) clearly indicate the date, reason and contact point for information regarding the shut down?

  Yes

  No

  N/A

• Add media

  Media

• Have Fire Impairment Notifications been received and approved for any fire detection / response system isolations that are in place?

  Yes

  No

  N/A

• Add media

  Media

• Are Fire Pump Auto / Manual and Lead / Lag controls set for normal operation (or tagged and noted in the log book where abnormal operation has been deemed necessary)?

  Yes

  No

  N/A

• Add media

  Media

• Are Fire Extinguishers, hose reels and hydrants within test date (serviced sites only)?

  Yes

  No

  N/A

• Add media

  Media

• Were all observed Exit and Emergency lights illuminated?

  Yes

  No

  N/A

• Add media

  Media

• Has Maximo been updated to capture any apparent new / changed Fire detection / response equipment at the site?

  Yes

  No

  N/A

• Add media

  Media

• Have changes to PM routines been recommended / adopted to reflect any apparent new / changed Fire detection / response equipment?

  Yes

  No

  N/A

• Add media

  Media

• General Comments / Issues

• Auditor: Register the completed audit in the Issues, Incidents and Audits SharePoint register. Enter any actions that warrant capture and/or follow up in the Actions register.
  
  Issue Escalation
  • Report on any urgent defects or safety hazards to Telstra P&FM: 1300 652 235.
  • If the contractor performs work in a way that there is an immediate threat to people’s safety, the network or the environment the contractor must be advised to stop work and the Area Manager and nominated Contract Coordinator must be informed.
  • Incidents and hazards must also be escalated to Visionstream / Client contacts and, where applicable, Incident Reports / Hazard Alerts created and distributed in accordance with the Incident Actions Ready Reckoner (VS(NIFM)-FO-PIN-095).

• Inspector sign off: This is a true and accurate reflection of the state of the above site. All contractor non-conformance's, maintenance requirements and any other potential problems observed have been reported.

  Sign