Weekly Health & Safety Inspection Form

• Inspection Date and Time

  Date

• Inspected by

• Address/Location
  Address

Fire Safety

• All exits, fire escapes, hallways, corridors, stairwells, stairway doors, etc., used in connection with an exit are free from obstruction/storage, kept closed, not blocked or wedged open, and in good repair

  Yes

  No

  N/A

• Required exit signs and emergency lighting are properly illuminated and operational

  Yes

  No

  N/A

• Fire exit door allow immediate egress via push mechanism

  Yes

  No

  N/A

• Heating equipment meets requirements (no open flame or portable heaters)

  Yes

  No

  N/A

• Required fire extinguishers are maintained and serviced regularly

  Yes

  No

  N/A

• Operating area has an approved fire action plan in place

  Yes

  No

  N/A

• Electrical wiring and equipment are in safe condition and PAT tested

  Yes

  No

  N/A

• Electrical cords/sockets are in good condition, not frayed, spliced, or overloaded

  Yes

  No

  N/A

• Fire alarm system is operative and properly tagged by licensed fire alarm company

  Yes

  No

  N/A

• To the best of my knowledge, the operating area meets local fire safety requirements

  Yes

  No

  N/A

First Aid

• Is there a suitable First Aid kit readily available and fit for purpose

  Yes

  No

  N/A

• Is the AED operational and fit for purpose

  Yes

  No

  N/A

• Are staff adequately trained to utilise the operating areas first aid equipment

  Yes

  No

  N/A

• To the best of my knowledge, the operating area meets local health and safety requirements

  Yes

  No

  N/A

COMPLETION

• Comments/Recommendations

• Fire Marshal Name and Signature

  Sign