Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1 The Building
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Number of Floors
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Floor area: (per floor)
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Brief details of construction:
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Occupancy type:
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2 The occupants
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Maximum number of occupants:
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Maximum number of occupants at any given time:
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Maximum number of members of the public at one time:
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3 Occupants at special risk
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Sleeping occupants:
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Disabled occupants:
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Occupants in remote areas:
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Lone workers:
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Other activities:
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4 Fire loss experience
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5 Other relevant background
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6 Electrical sources of ignition
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Are reasonable measures taken to prevent fires of electrical origin?
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Is the fixed wiring installation periodically tested and inspected?
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Are portable appliances tested/inspected?
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Is there a suitable policy about the use of personal electrical appliances?
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Is there a suitable limitation on the use of trailing leads and adapters?
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Comments and hazards observed:
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7 Smoking
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Are reasonable measures taken to prevent fires as a result of smoking?
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Is smoking prohibited in the building?
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Is smoking prohibited in appropriate areas?
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Are there suitable arrangements made for those who wish to smoke?
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Is the appropriate smoking prohibition notice displayed at the building's entrance?
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Comments and hazards observed:
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8 Arson
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Does the basic security against arson appear reasonable?
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Is there sufficient control of unnecessary fire load in close proximity to the building or available for ignition by outsiders?
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Comments and hazards observed:
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9 Portable heaters and heating installation
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Is the use of portable heater avoided as far as reasonably practicable?
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If portable heaters are used, are the more hazardous types (radiant bars and LPG) avoided?
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If portable heaters are used are suitable measures taken to minimise the risk of ignition of combustible materials?
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Are fixed heating installations subject to regular maintenance?
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Comments and hazards observed:
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10 Cooking
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Are reasonable measures taken to prevent cooking fires?
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Are filters changed and ductwork cleaned regularly?
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Are suitable extinguishers available?
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Comments and hazards observed:
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11 Lightning
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Has the building an effective lightning protection system?
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Comments and hazards observed:
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12 Other significant ignition sources that warrant consideration
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List other ignition sources:
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Comments and hazards observed:
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13 Housekeeping
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Is the standard of housekeeping adequate?
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Are combustible materials separated from ignition sources?
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Is the unnecessary accumulation of combustibles and waste avoided?
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Is there appropriate storage of hazardous materials?
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Are combustible materials stored appropriately?
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Comments and hazards observed:
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14 Hazards introduced by outside contractors and building works
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Is there sufficient control over works by outside contractors (e.g. Permits to work & hot works permits)?
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Are fire safety conditions and instructions communicated to contractors?
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Are in-house maintenance personnel sufficiently controlled?
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Comments and hazards observed:
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15 Means of escape from fire
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Is the building provided with adequate means of escape in case of fire?
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Are there sufficient exits?
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Are exits easily and immediately openable where necessary?
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Do fire exits open in the direction of travel?
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Have sliding or revolving doors been avoided as fire exits?
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Are there adequate means of securing exits?
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Are there reasonable distances of travel where there is a single direction of travel?
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Are there reasonable distances of travel where there are alternative means of escape?
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Are escape routes adequately protected?
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Are there suitable fire precautions for all inner rooms?
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Are escape routes unobstructed?
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Are there suitable means of escape for disabled occupants?
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Comments and observations:
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16 Measures to limit fire spread and development.
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Is there a sufficient standard of compartmentalisation?
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Are linings that promote fire spread avoided as far as reasonably practicable?
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Comments and observations:
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17 Escape lighting
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Is an adequate standard of escape lighting provided?
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Comments and observations:
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18 Fire safety signs and notices
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Are fire safety signs and notices suitable and sufficient?
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Comments and observations:
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19 Means of giving warning in the event of fire
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Is a manually operated electrical fire alarm system provided?
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Is automatic fire detection provided?
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Is there remote transmission of alarm signals?
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Comments and observations:
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20 Manual fire extinguishing appliances
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Is there suitable and sufficient provision of portable fire extinguishers?
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Are hose reels provided?
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Comments and observations:
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21 Relevant automatic fire extinguishing systems
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Type of system:
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Comments and observations:
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22 Other relevant fixed systems
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Type of system:
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Comments and observations:
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23 Procedures and arrangements
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Person responsible for fire safety:
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Are there competent persons available to assist in implementing fire safety arrangements?
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Are appropriate fire procedures in place? (including arrangements for calling the fire service)
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Are there people nominated to respond to fire?
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Is here appropriate liaison with the fire service?
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Do routine in-house inspection of fire precautions take place?
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Comments and observations:
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24 Training and drills
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Are staff given instruction on induction?
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Do staff receive occasional refresher training?
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Are staff with special responsibilities given appropriate training?
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Are fire drills carried out at least twice a year?
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25 Testing and maintenance
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Is the workplace adequately maintained?
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Is there weekly testing and periodic servicing of the fire detection and alarm system?
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Is there monthly, six-monthly and annual testing of the emergency lighting?
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Is there annual maintenance of fire extinguishing equipment?
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Is there annual inspection and test of the lightning protection system?
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Other relevant inspection and test
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Comments and observations:
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26 Records
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Are there records of fire drills?
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Are there records of fire training?
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Are there records of fire alarm tests?
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Are there records of emergency lighting tests?
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Are there records of maintenance and testing of other fire protection systems?
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Comments and observations:
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Inspector Information
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Preplan
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Correction Time
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Received by:
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Inspector:
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Certification No.
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Inspector Signature
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