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Any ‘Action Required’ must be reported to maintenance or fire equipment maintenance contractor as required by
regional process.
Tick or mark the appropriate box as you check each item. Should the item being checked appear to be damaged or you are
unsure that its condition appears normal, mark the “action required” box and report the item to the maintenance company on the
designated emergency call number.
Fire Extinguishers
For the extinguisher to be classified as being in the “ready to use” condition:
each fire extinguisher should be fitted with a safety pin and security tie
the indicator needle should be in the green section
Sprinkler Heads
A damaged sprinkler head may not operate correctly by:
Not operating immediately if it is damaged
Not resisting water pressure fluctuations
Over a period of time, or when there is a sudden increase in water pressure, the sprinkler head seal may fail and
begin to slowly leak or fully operate spraying water into the room. Therefore it is important that any obvious
damage is reported so a technician can check the sprinkler head.
Smoke Alarms
Smoke alarms with obvious damage will not function or work correctly, which means they may not detect smoke or
alert occupants
Name of document 1
Visual inspection Site Address Date Checked by
(print name)
1. Smoke Alarms 2. Fire Indicator Panel
Checked Action required Checked Action required
All smoke alarms appear to be mounted correctly No fault lights on, on the alarm panel
No obvious damage or missing smoke alarms Testing the Smoke Alarms, -
Green indicator light is on all smoke alarms staff should randomly test at least 4 smoke alarms
individually by depressing the smoke alarm test button
once. This test is done to ensure that they work correctly.
Test the alarm Interlink -by holding down the test button on
any smoke alarm for more than 3 seconds (this is to check
if all other smoke alarms operate simultaneously when
any one smoke alarm has been activated).
equipment contractor.
External
There are no obstructions or hazards along the path which
may hinder or injure persons evacuating
Paths to the designated assembly areas are clear and
easy to follow
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7. Fire Prevention – Housekeeping 8. Fire Extinguisher
Checked Action required Checked Action required
Fire extinguisher/s located in their designated location and
Internal securely mounted
Fire extinguisher/s easily obtainable in an emergency
Rubbish is stored and disposed of in appropriate Fire extinguisher has the safety pin and security tie intact.
containers until removed Indicator needle on the gauge in the green sector
Paper or clothing is not allowed to accumulate inside (eg
newspaper allowed to stack up, piles of clothing stored in
rooms, etc)
Designated walkways and passages are clear
Smoking items stored appropriately and ashtrays emptied
and cleaned regularly
Combustible materials are kept away from hot elements
(eg tea towels kept away from the stove)
Lint filters on dryers clean
External
Garden is maintained so it is not overgrown
9. Fire Blanket
Checked Action required
Fire blanket is securely mounted in its designated position
Fire blanket easily obtainable in an emergency
No obvious damage to the fire blanket
The fire blanket has not been used
Note Fire Blanket and bag should only be checked externally and blanket should not be removed from the bag
Name of document 3