Weekly Evacuation Alarm Testing

• Document No.

• Audit Title

• Places Gym Corby

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

*CENTRE NAME* - This check is to be completed on a weekly basis. If there is any non conforming items a picture must be taken at the end of this report, and then logged in the Corrective Action Log located within the Shared Drive.

• In accordance with Safe, DO, Section 3 Fire, Sub Section 13 Evacuation Alarm the following must be completed:
  
  CALL POINT NUMBER
  1: 4/1/17, 8/2/17, 15/3/17, 19/4/17, 24/5/17, 28/6/17
  2: 11/1/17, 15/2/17, 22/3/17, 26/4/17, 31/5/17, 5/7/17
  3: 18/1/17, 22/2/17, 29/2/17, 3/5/17, 7/6/17 , 12/7/17
  4: 25/1/17, 1/3/17, 5/4/17, 10/5/17, 14/6/17, 19/7/17
  5: 1/2/17, 8/3/17, 12/4/17,17/5/17, 21/6/17, 26/7/17

• Ensure that you have contacted your alarm monitoring company and placed your Evacuation Alarm System on test. Call *INSERT PHONE NUMBER*, *INSERT MONITORING COMPANY NAME. Explain that you want to put the alarm system on test and for how long you want it on test. Quote Chip Number: ******, Password: ******
  Go to the listed point above as dictated by the date, insert the red key, turn the 1/4 turn the right and this should set the alarm off, and a small yellow flag appear at the top of the break glass point. Walk the building ensuring the alarm is audible in all areas. Return to the call point and reset by turning the key back to the left, and the flag should disappear. Then press reset and the system will return to normal.

• CALL POINT USED:

• Satisfactory: YES OR NO

• CALL POINT USED:

• Satisfactory: YES OR NO

• CALL POINT USED:

• Satisfactory: YES OR NO

Automatic Door Releases

• Satisfactory: YES OR NO

Automatic Detectors

• Satisfactory: YES OR NO

• Please note down any issues in the space provided below, log on the corrective action log and take a picture using the media tool below if applicable.

• Add media

  Media

• Select date

  Date

• Add signature

  Sign