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: On behalf of:

Details of matters identified requiring urgent and immediate attention

ITE

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Top Score = 5 , lowest Score = 0 SCORE

4

1.0 FIRE SAFETY MANAGEMENT

1.1 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 y

1.6 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 y

1.12 All combustible waste removed from premises daily? y

1.13 y

1.14 y 1.15 Gas cylinders including oxygen stored outside? y

1.16 y

1.17 y

1.18 y

1.19 y

1.20 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 y

Total items checked 22 total score 0 110

THEREFORE TOTAL PERCENTAGE SCORED = 0%

DATE CHECKED

ISSUE NUMBER

ITEMS CHECKED ON THIS AUDIT

Record of annual/quarterly test, inspection & servicing by contractor of the fire alarm system?

Is the log book in good order with the correct information in place within the relevant sections?

Combustible materials kept separate from ignition sources?

floor surfaces and coverings within escape routes are maintained, even and non-slip?

Waste cleared from outside of building (including grass and weeds)?

Designated areas for temporary storage of discarded equipment and furniture - away from escape routes and not near the outside of the building?

Suitable and sufficient risk assessment carried out for use of gas cylinders within building and findings of assessment implemented?

Rooms in which hazardous substances (e.g. flammable/highly flammable) and gas cylinders are kept and used identified by appropriate hazard signage?

Daily inspection of escape routes for buildings open to the public?

All escape routes are maintained, available and easy to use (include external gates for car parks and yards)?

Final fire exit doors are in good condition, open easily and inspected daily for buildings open to the public?

Fire signage indicates direction of escape is clear, logical and unambiguous?

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Top Score = 5 , lowest Score = 0 SCORE

4

2.0

2.1 not checked

2.2 not checked2.3 Have staff attended annual refresher training? not checked

2.4 not checked

2.5 not checked

2.6 Has a fire evacuation drill been carried out within the last 6 months? not checked

2.7 not checked

2.8 not checked

2.9 not checked

2.10 not checked

2.11 not checked2.12 not checked

2.13 not checked2.14 not checked2.15 not checked

2.16 not checked2.17 not checked2.18 not checked

2.19 not checked2.20 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 checked2.37 not checked

Total items checked 0 total score 0 0

THEREFORE TOTAL PERCENTAGE SCORED = 0%

DATE CHECKED

ISSUE NUMBER

ITEM NUM

ITEMS CHECKED ON THIS AUDIT

FIRE SAFETY TRAINING, INSTRUCTION AND INFORMATION

Are line managers/site managers giving first day induction training (check log book, ask new starters)?

Have new staff been booked to attend (or have they attended) 4 day induction training?

Have appointed fire wardens received appropriate training within the last 3 years?

Have appointed first aiders received appropriate training within the last 2 1/2 years (have they been given the opportunity to have refresher training)?

Were the results of the fire evacuation drill recorded in the fire log book?

Were the results of the fire evacuation drill very good, good, satisfactory or unsatisfactory?

Has the site manager taken the opportunity to dispense fire safety instruciton during building site meetings (look at minutes, ask staff)?

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)

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6th Mar 08

Top Score = 5 , lowest Score = 0 SCORE

4

3.0 EMERGENCY RESPONSE PLANNING

3.1 not checked

3.2 not checked

3.3 Does the plan cover how to raise the alarm? not checked3.4 not checked

3.5 not checked

3.6 not checked

3.7 not checked

3.8 not checked3.9 Does the plan cover first aid fire fighting? not checked

3.10 not checked

3.11 not checked

3.12 not checked

3.13 not checked

3.14 not checked

3.15 not checked

3.16 not checked

3.17 not checked

3.18 not checked

3.19 not checked

3.20 not checked

3.21 not checked

3.22 not checkednot checkednot checkednot checkednot checked

DATE CHECKED

ISSUE NUMBER

ITEM NUM

ITEMS CHECKED ON THIS AUDIT

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 with warning and evacuation signals?Does the plan cover calling the emergency services?Does the plan include evacuation procedures including for those requiring assistance to leave the building - e.g. disabled, members of the public, contractors

Does the plan cover calling the emergency services (responsibilities and procedures)?Does the plan cover staff responsibilites including fire wardens, first aiders?Does the plan cover procedures and responsibiliteis of meeting the emergency services, providing them with information and assistance?Does the plan cover actions on completion of 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 there someone designated to meet the fire service on their arrival?Is there an emergency pack containing: floor plan layouts indicating relevant fire resistance provisions, internal access provisions, fire-fighting facilities, building Is there an emergency pack containing relevant information (including operating instructions) relating to equipment/fixed installations provided for means of escape or Is there an emergency pack containing information on the implications of any fire-engineering strategy on the performance of the building during a fire?Has the emergency response plan been 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?

not checkednot checkednot checkednot checkednot checkednot checkednot checkednot checkednot checkednot checkednot checkednot checked

Total items checked 0 0 0

THEREFORE TOTAL PERCENTAGE SCORED = 0%

total score

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34

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SUMMARY SHEET

FIRE SAFETY MANAGEMENTItems checked on this audit 22Score 0Out of a possible 110% score for this section 0%

FIRE SAFETY TRAININGItems checked on this audit 0Score 0Out of a possible 0% score for this section 0%

EMERGENCY RESPONSE PLANNINGItems checked on this audit 0Score 0Out of a possible 0% score for this section 0%

TOTAL ITEMS CHECKED 22TOTAL SCORE 0OUT OF A POSSIBLE 110

% OF ALL CHECKLIST AUDITED 0.00% % SCORE OF ACTUAL ITEMS AUDITED 0.00%