4 sections, 15 items
1Escape routes
- Pass / fail
Corridors, stairs and landings clear of storage, bikes, prams and rubbish *
- Pass / fail
Final exit door opens easily from the inside without a key *
- Pass / fail
Floor coverings, handrails and steps in good repair
- Photo
Photo of any obstruction
2Fire doors
- Pass / fail
All fire doors close fully on their closers and are not wedged open *
- Pass / fail
Seals and strips intact, no damage to leaf or frame *
- Pass / fail
Signage present
3Detection and lighting
- Pass / fail
Fire alarm tested from a call point and all sounders heard *
Rotate the call point used each test.
- Pass / fail
Smoke and heat detectors present, undamaged and not covered *
- Pass / fail
Emergency lighting function test passed on each fitting *
4Equipment and information
- Pass / fail
Extinguishers and fire blanket in place, in date, seals intact *
- Pass / fail
Fire action notice displayed and legible
- Yes / no
Gas safety record and electrical installation condition report in date *
- Text
Notes and defects
- Signature
Manager signature *
* Required