Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1 The Building

  • Number of Floors

  • Floor area: (per floor)

  • Brief details of construction:

  • Occupancy type:

  • Pictures

2 The occupants

  • Maximum number of occupants:

  • Maximum number of occupants at any given time:

  • Maximum number of members of the public at one time:

  • Pictures

3 Occupants at special risk

  • Sleeping occupants:

  • Disabled occupants:

  • Occupants in remote areas:

  • Lone workers:

  • Other activities:

  • Pictures

4 Fire loss experience

  • Pictures

5 Other relevant background

  • Pictures

6 Electrical sources of ignition

  • Are reasonable measures taken to prevent fires of electrical origin?

  • Is the fixed wiring installation periodically tested and inspected?

  • Are portable appliances tested/inspected?

  • Is there a suitable policy about the use of personal electrical appliances?

  • Is there a suitable limitation on the use of trailing leads and adapters?

  • Comments and hazards observed:

  • Pictures

7 Smoking

  • Are reasonable measures taken to prevent fires as a result of smoking?

  • Is smoking prohibited in the building?

  • Is smoking prohibited in appropriate areas?

  • Are there suitable arrangements made for those who wish to smoke?

  • Is the appropriate smoking prohibition notice displayed at the building's entrance?

  • Comments and hazards observed:

  • Pictures

8 Arson

  • Does the basic security against arson appear reasonable?

  • Is there sufficient control of unnecessary fire load in close proximity to the building or available for ignition by outsiders?

  • Comments and hazards observed:

  • Pictures

9 Portable heaters and heating installation

  • Is the use of portable heater avoided as far as reasonably practicable?

  • If portable heaters are used, are the more hazardous types (radiant bars and LPG) avoided?

  • If portable heaters are used are suitable measures taken to minimise the risk of ignition of combustible materials?

  • Are fixed heating installations subject to regular maintenance?

  • Comments and hazards observed:

  • Pictures

10 Cooking

  • Are reasonable measures taken to prevent cooking fires?

  • Are filters changed and ductwork cleaned regularly?

  • Are suitable extinguishers available?

  • Comments and hazards observed:

  • Pictures

11 Lightning

  • Has the building an effective lightning protection system?

  • Comments and hazards observed:

  • Pictures

12 Other significant ignition sources that warrant consideration

  • List other ignition sources:

  • Comments and hazards observed:

  • Pictures

13 Housekeeping

  • Is the standard of housekeeping adequate?

  • Are combustible materials separated from ignition sources?

  • Is the unnecessary accumulation of combustibles and waste avoided?

  • Is there appropriate storage of hazardous materials?

  • Are combustible materials stored appropriately?

  • Comments and hazards observed:

  • Pictures

14 Hazards introduced by outside contractors and building works

  • Is there sufficient control over works by outside contractors (e.g. Permits to work & hot works permits)?

  • Are fire safety conditions and instructions communicated to contractors?

  • Are in-house maintenance personnel sufficiently controlled?

  • Comments and hazards observed:

  • Pictures

15 Means of escape from fire

  • Is the building provided with adequate means of escape in case of fire?

  • Pictures

  • Are there sufficient exits?

  • Are exits easily and immediately openable where necessary?

  • Do fire exits open in the direction of travel?

  • Have sliding or revolving doors been avoided as fire exits?

  • Are there adequate means of securing exits?

  • Are there reasonable distances of travel where there is a single direction of travel?

  • Are there reasonable distances of travel where there are alternative means of escape?

  • Are escape routes adequately protected?

  • Are there suitable fire precautions for all inner rooms?

  • Are escape routes unobstructed?

  • Are there suitable means of escape for disabled occupants?

  • Comments and observations:

  • Pictures

16 Measures to limit fire spread and development.

  • Is there a sufficient standard of compartmentalisation?

  • Are linings that promote fire spread avoided as far as reasonably practicable?

  • Comments and observations:

  • Pictures

17 Escape lighting

  • Is an adequate standard of escape lighting provided?

  • Comments and observations:

  • Pictures

18 Fire safety signs and notices

  • Are fire safety signs and notices suitable and sufficient?

  • Comments and observations:

  • Pictures

19 Means of giving warning in the event of fire

  • Is a manually operated electrical fire alarm system provided?

  • Is automatic fire detection provided?

  • Is there remote transmission of alarm signals?

  • Comments and observations:

  • Pictures

20 Manual fire extinguishing appliances

  • Is there suitable and sufficient provision of portable fire extinguishers?

  • Are hose reels provided?

  • Comments and observations:

  • Pictures

21 Relevant automatic fire extinguishing systems

  • Type of system:

  • Comments and observations:

  • Pictures

22 Other relevant fixed systems

  • Type of system:

  • Comments and observations:

  • Pictures

23 Procedures and arrangements

  • Person responsible for fire safety:

  • Are there competent persons available to assist in implementing fire safety arrangements?

  • Are appropriate fire procedures in place? (including arrangements for calling the fire service)

  • Are there people nominated to respond to fire?

  • Is here appropriate liaison with the fire service?

  • Do routine in-house inspection of fire precautions take place?

  • Comments and observations:

  • Pictures

24 Training and drills

  • Are staff given instruction on induction?

  • Do staff receive occasional refresher training?

  • Are staff with special responsibilities given appropriate training?

  • Are fire drills carried out at least twice a year?

  • Pictures

25 Testing and maintenance

  • Is the workplace adequately maintained?

  • Is there weekly testing and periodic servicing of the fire detection and alarm system?

  • Is there monthly, six-monthly and annual testing of the emergency lighting?

  • Is there annual maintenance of fire extinguishing equipment?

  • Is there annual inspection and test of the lightning protection system?

  • Other relevant inspection and test

  • Comments and observations:

  • Pictures

26 Records

  • Are there records of fire drills?

  • Are there records of fire training?

  • Are there records of fire alarm tests?

  • Are there records of emergency lighting tests?

  • Are there records of maintenance and testing of other fire protection systems?

  • Comments and observations:

  • Pictures

Inspector Information

  • Preplan

  • Correction Time

  • Received by:

  • Inspector:

  • Certification No.

  • Inspector Signature

  • Pictures

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.