Fire Safety Compliance Form
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] |
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Next Test Date |
[05 June 2051] |
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Remarks |
[All alarms functioning properly] |
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Emergency Lighting |
|
|
Last Inspection Date |
[10 Dec 2050] |
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Next Inspection Date |
[10 June 2051] |
|
Remarks |
[Battery backup checked and functional] |
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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] |
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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]
