Information
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Cinema:
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Conducted on:
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Vue Week No:
FIRE SAFETY
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All common fire escape routes checked and clear
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Initials of the checker
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Date of check
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All emergency fastening devices to fire exits (push bars and pads) work correctly
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Initials of the checker
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Date of check
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Push bar sign or how to operate sign located above emergency door opening device
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Initials of the checker
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Date of check
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"Fire Escape Keep Clear" sign clearly visible on outside of each external fire escape door
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Initials of the checker
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Date of check
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Refuge bays for wheel chair users clear and accessible
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Initials of the checker
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Date of check
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Refuge bay call points - test making sure call is received at master control panel
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Initials of the checker
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Date of check
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Plant rooms are free from combustible materials
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Initials of the checker
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Date of check
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Re-set / test key for call points available in an emergency (available from CFS)
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Initials of the checker
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Date of check
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Spare break glass panels for call points available in an emergency
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Initials of the checker
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Date of check
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Fire warning system checked testing two manual call points / zones
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Zone / Call point nos:
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Zone / Call point nos:
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Initials of the checker
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Date of check
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Alarm system works correctly when tested
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Initials of the checker
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Date of check
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Linked fire protection systems work correctly (magnetic doors, fire shutters)
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Initials of the checker
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Date of check
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Visual and voice alarm systems work correctly
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Initials of the checker
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Date of check
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Emergency escape lights charging indicator (if fitted) visible and working
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Initials of the checker
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Date of check
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Emergency lighting battery back-up system working and charging batteries
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Initials of the checker
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Date of check
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All fire fighting equipment in good repair
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Initials of the checker
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Date of check
DDA / HEALTH & SAFETY
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Hearing loop system working
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Initials of the checker
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Date of check
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Internal and external refuse areas tidy and secured against unauthorised access
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Initials of the checker
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Date of check
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Compactor locked when not in use
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Initials of the checker
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Date of check
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Rarely used water outlets and showers flushed through for 5 minutes
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Initials of the checker
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Date of check
CORRECTIVE ACTIONS
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Corrective Actions
Corrective action
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Details of the corrective action
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Photo(s) of the corrective action
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Who is responsible for completion
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When will the issue be rectified
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Date of completion
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Initials of the checker, once complete
All checks have been completed and corrective actions recorded for all non compliances
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GM's signature
