Fire Safety Compliance Form
Prepared by: | [Your Name] |
Date: | [12/21/2050] |
General Information:
Building Manager/Responsible Person | [Your Name] |
Contact Information | [Your Contact Information] |
Fire Safety Equipment Checks:
Fire Extinguishers |
Location | [Main Hall, Near Exit] |
Last Inspection Date | [01 Dec 2050] |
Next Inspection Date | [01 June 2051] |
Remarks | [Fully operational, pressure levels normal] |
Fire Alarms |
Last Test Date | [05 Dec 2050] |
Next Test Date | [05 June 2051] |
Remarks | [All alarms functioning properly] |
Emergency Lighting |
Last Inspection Date | [10 Dec 2050] |
Next Inspection Date | [10 June 2051] |
Remarks | [Battery backup checked and functional] |
Fire Doors |
Check Status | |
Remarks | [Doors operational and closing properly] |
Fire Safety Training:
Last Training Date | [20 Nov 2050] |
Next Scheduled Training | [20 May 2051] |
Number of Trained Staff | [25] |
Training Topics Covered | [Fire Extinguisher Use, Emergency Evacuation Procedures] |
Remarks | [All staff attended, positive feedback received] |
Fire Risk Assessment:
Last Assessment Date | [15 Nov 2050] |
Identified Risks | [Storage Room Clutter, Overloaded Power Outlets] |
Risk Mitigation Measures | [Regular Cleaning, Electrical Safety Checks] |
Remarks | [Action plan implemented, follow-up scheduled] |
Evacuation Plan:
Plan Availability | |
Last Review Date | [30 Nov 2050] |
Drill Frequency | [Biannually] |
Remarks | [Next drill scheduled for May 2051] |
Signature of Building Manager/Responsible Person:

[Your Name]
[Date]
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