39 1 83KB
This inspection front sheet is a requirement to comply with the Regulatory Reform (Fire Safety) Order 2005 Building name: Building location:
Description of items audited:
Date and time of audit: Audited by:
Position:
Details of matters identified requiring urgent and immediate attention
On behalf of:
DATE CHECKED
ISSUE NUMBER
ITEM
ITEMS CHECKED ON THIS AUDIT
Top Score = 5 , lowest Score = 0
1.0
FIRE SAFETY MANAGEMENT
1.1
Record of annual/quarterly test, inspection & servicing by contractor of the fire alarm system?
y
1.2
Daily fire panel operation check
y
1.3
Weekly fire alarm system tests
y
1.4
Monthly fire and health and safety checkllist
y
1.5
Is the log book in good order with the correct information in place within the relevant sections?
y
1.6
Combustible materials kept separate from ignition sources?
y
1.7
flammable substances stored appropriately?
y
1.8
waste disposal monitored properly?
y
1.9
Clear spaces maintained around heaters of any type?
not checked
1.10
Store rooms: goods not stacked close to windows?
not checked
1.11
floor surfaces and coverings within escape routes are maintained, even and non-slip?
y
1.12
All combustible waste removed from premises daily?
y
1.13
Waste cleared from outside of building (including grass and weeds)?
y
1.14
Designated areas for temporary storage of discarded equipment and furniture - away from escape routes and not near the outside of the building?
y
1.15
Gas cylinders including oxygen stored outside?
y
1.16
Suitable and sufficient risk assessment carried out for use of gas cylinders within building and findings of assessment implemented?
y
1.17
Rooms in which hazardous substances (e.g. flammable/highly flammable) and gas cylinders are kept and used identified by appropriate hazard signage?
y
1.18
Daily inspection of escape routes for buildings open to the public?
y
1.19
All escape routes are maintained, available and easy to use (include external gates for car parks and yards)?
y
1.20
Final fire exit doors are in good condition, open easily and inspected daily for buildings open to the public?
y
1.21
Fire doors not wedged open - are kept closed/locked?
y
1.22
Escape lighting in working order?
y
1.23
General lighting in working order?
y
1.24
Fire signage indicates direction of escape is clear, logical and unambiguous?
y
Total items checked
22
SCORE 4
total score
0
THEREFORE TOTAL PERCENTAGE SCORED =
out of possible 0%
110
eprgeapg,ea,be,bea,be,be,bea,b
dafgdsgsgsafg
DATE CHECKE D
ITEM NUM
ISSUE NUMBER
ITEMS CHECKED ON THIS AUDIT
Top Score = 5 , lowest Score = 0
SCORE
4
2.0
FIRE SAFETY TRAINING, INSTRUCTION AND INFORMATION
2.1
Are line managers/site managers giving first day induction training (check log book, ask new starters)?
not checked
2.2
Have new staff been booked to attend (or have they attended) 4 day induction training?
not checked
2.3
Have staff attended annual refresher training?
not checked
2.4
Have appointed fire wardens received appropriate training within the last 3 years?
not checked
2.5
Have appointed first aiders received appropriate training within the last 2 1/2 years (have they been given the opportunity to have refresher training)?
not checked
2.6
Has a fire evacuation drill been carried out within the last 6 months?
not checked
2.7
Were the results of the fire evacuation drill recorded in the fire log book?
not checked
2.8
Were the results of the fire evacuation drill very good, good, satisfactory or unsatisfactory?
not checked
2.9
Has the site manager taken the opportunity to dispense fire safety instruciton during building site meetings (look at minutes, ask staff)?
not checked
2.10
What information regarding emergency response has been given to staff (ask staff if they have been given a copy of the emergency action plan, look at notice boards)
not checked
2.11
not checked
2.12
not checked
2.13
not checked
2.14
not checked
2.15
not checked
2.16
not checked
2.17
not checked
2.18
not checked
2.19 2.20
not checked not checked
2.21
not checked
2.22
not checked
2.23
not checked
2.24
not checked
2.25
not checked
2.35
not checked
2.36
not checked
2.37
not checked
2.37
not checked Total items checked
0
total score
0
THEREFORE TOTAL PERCENTAGE SCORED =
out of possible 0%
0
asdfgdgdfggsagsga
dafggsagsagsa
dfgdfgdfgdgfdafgdfgadg
DATE 6th Mar 08 CHECKE D
ITEM NUM
3.0
3.1 3.2
3.3 3.4
3.5
3.6
3.7
3.8 3.9
3.10
3.11
3.12
3.13
3.14
3.15
3.16
3.17 3.18 3.19 3.20
3.21
3.22
Top Score = 5 , lowest Score = 0
EMERGENCY RESPONSE PLANNING Is there an emergency response plan specific to the building? Does the plan cover action on discovering a fire and on hearing the fire alarm? Does the plan deal coverwith howwarning to raiseand the alarm? evacuation signals? Does the plan include evacuation Does the plan cover calling the emergency procedures including for those requiring services? assistance to leave the building - e.g. disabled, members of the public, contractors and visitors? Does the plan cover calling the emergency services (responsibilities and procedures)? Does the plan cover staff responsibilites including fire wardens, first aiders? Does and Does the the plan plan cover cover procedures first aid fire fighting? responsibiliteis of meeting the emergency services, providing them with information Does the plan cover actions on completion of and assistance? evacuation - accounting for occupants, providing emergency accommodation, business continuity? Does the plan cover procedures and responsibiliteis regarding re-entry to the building? Does the plan cover actions to be taken after the incident? Is designated to meet thefloor fire Is there there someone an emergency pack containing: service on their arrival? plan layouts indicating relevant fire resistance provisions, internal access Is there an emergency containing provisions, fire-fighting pack facilities, building relevant information (including operating services and any specific hazards? instructions) relating to equipment/fixed installations provided for means of escape or Is an emergency pack containing firethere fighting? information on the implications of any fireengineering strategy on the performance of Has the emergency plan been the building during aresponse fire? tested using different scenarios over a period of time? Does the emergency response plan include provision for out of hours and lone working? Are there an adequate number of trained fire wardens in appropriate locations? Are there an adequate number of trained fire wardens outside of normal working hours (9 a.m. - 5 p.m., Monday to Friday, all day Saturday and Sunday)? Are there an adequate number of trained first aiders?
ITEMS CHECKED ON THIS AUDIT
ISSUE NUMBER
SCORE
4
not checked not checked not checked not checked not checked not checked
not checked not checked not checked not checked not checked
not checked not checked not checked
not checked not checked not checked not checked not checked not checked
not checked not checked not checked not checked not checked not checked
not checked not checked not checked not checked not checked not checked not checked not checked not checked not checked not checked not checked Total items checked
0
total score
0
THEREFORE TOTAL PERCENTAGE SCORED =
out of possibl e 0%
0
34
dfgfgsfgsgasg
sdfsafsagafgsagsagag
dfgdfgafgagagagagag
SUMMARY SHEET FIRE SAFETY MANAGEMENT Items checked on this audit Score Out of a possible % score for this section
22 0 110 0%
FIRE SAFETY TRAINING Items checked on this audit Score Out of a possible % score for this section
0 0 0 0%
EMERGENCY RESPONSE PLANNING Items checked on this audit Score Out of a possible % score for this section
0 0 0 0%
% OF ALL CHECKLIST AUDITED
0.00%
TOTAL ITEMS CHECKED TOTAL SCORE OUT OF A POSSIBLE % SCORE OF ACTUAL ITEMS AUDITED
22 0 110 0.00%