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Annexure 1 Block Audit Checklist Jan 2020 Fare Safety Audit

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Annexure I

Block / building Fire Safety Audit- check list

FIRE SAFETY AUDIT CHECKLIST

Name of block

Name of premises / floor level

Ward name and no.

Date of audit

Audit undertaken by (print name)

1 Fire Safety Management


Yes No N/A risk Comments
Has the fire safety inspection been carried
a)
out in your block?
Based on the inspection report,
b) rectification measures are undertaken in
your premises ?
2 Fire Prevention — General
Yes No N/A risk Comments
Is there Availability of consumption record
for ensuring that the storage of all types of
a)
flammable materials are reasonable and
properly controlled?
Signages for Store Room - storage
details displayed in front of the room
b)
(separate gauze cotton and spirit storage
point)
Is material Safety data sheet (MSDS) for
all store rooms are available (under
c)
nursing care, office rooms & Equipment
rooms)
Is all waste regularly collected and placed
d) in a safe place ready for collection by
housekeeping?
Closing down inspection - Prior to leaving
the premises, are all areas inspected for
e)
potential fire and unnecessary equipment
turned off?
Have all staff received basic fire
f)
prevention instruction?
Do staff understand the need to report
g)
any potential fire hazards?
If any permit-to-work systems are in
h) place, are they operated correctly at all
times?

Page 1 of 4 Standard Operating Protocol For Fire-safety JIPMER 2017 Ver 4. Jan 2020
3 Fire Prevention — Electrical Safety
Yes No N/A Risk Comments
Have all electrical systems and equipment in
your department were installed and tested as
a)
per the manufacturer’s instruction manual
and electricity standards?
Are records regarding regular SOM (schedule of
maintenance) for equipments and portable
b)
appliances are up to date at your work
department?
Is the use of extension box kept to a
c)
minimum?
All electrical points & wiring are
d) concealed/intact & used as per safety
standards
Are the electrical switch points free of
e)
overloading?
Is electrical equipment (eg light bulbs/fittings
f) and any electrical heating appliances) kept
well away from combustible materials?
g) Is Maintenance/service details of all A/C is
available
h) Is Maintenance/service details of all electrical
equipments( like water heaters/coolers,
greasers, etc.) is available
4 Fire Prevention — Heating Appliances & medical oxygen
Yes No N/A Risk Comments
Are all heating appliances securely fixed in
position, suitably guarded and with an
a)
adequate clear space free of storage of any
kind?
Is the entire heating installation in working
b)
condition and serviced properly?
Are arrangements for medical oxygen supply
c) lines are properly installed with easily
accessible location of shut-off valves?
Are staffs aware about location of oxygen
d) isolation shut off valve at their work premises
in each floor
5 Fire Prevention — Means of Escape
Yes No N/A Risk Comments
Are fire exits of a sufficient number and of
sufficient width to enable the individual
a)
present in any and all areas to evacuate
safely?
Do all fire exits lead to a place of total
b)
safety?
Are all fire exits doors easily operable from
c)
the inside / free from obstruction?
Are floor and stairway surfaces in good
condition and free from tripping and slipping
d)
hazards, particularly in any external stairs
and paths?

Page 2 of 4 Standard Operating Protocol For Fire-safety JIPMER 2017 Ver 4. Jan 2020
Yes No N/A Comments
Are floor and stairway surfaces in good
condition and free from tripping and slipping
e)
hazards, particularly in any external stairs and
paths?
f) Are exit doors in good condition?
Do all doors on escape routes open in the
g)
direction of travel?
Are all escape routes clearly and properly
h)
signed throughout their lengths?
Are all escape routes provided with adequate
i)
lighting at all times of the day and night?
Is adequate emergency lighting provided in
j)
escape route?
Have appropriate provisions been made for the
safety of persons with special needs, such as
k)
the young, old or disabled? Especially like
ramps, handrails in the staircase etc.
Is the Terrace kept open? If locked, location of
l)
key should be displayed.
6 Fire Prevention — Actions in the Event of Fire
Ris Comments
Yes No N/A
k
Are there clearly defined written fire action and
emergency evacuation procedures, including
a)
provision for ensuring that everyone is out of
the building?
Are all employees fully aware of these
b) procedures and their own particular duties and
responsibilities in the event of an evacuation?
Are suitable "Fire Action" notices prominently
c)
displayed around the premises?
Have appropriate fire staff been appointed to
take control in the event of a fire and to
d)
summon the fire brigade for all fires, no matter
how small?
Have appropriate arrangements been made for
e) dealing with those who are not normally on the
premises such as patient waiting area etc.?
Are the fire evacuation assembly areas in safe
f) locations, clear of the building and away from
fire brigade vehicle access and parking?
Are emergency evacuation routes and
g) procedures checked by carrying out drills at
least once per year?
7 Fire Prevention — Fire Detection and Alarm Systems
Yes No N/A Comments
Can a fire alarm be raised without placing
a)
anyone in danger?
Is the fire alarm system in full working
b)
condition?
Are there sufficient fire alarm call points located
c) near to every exit from each floor and from
each building?

Page 3 of 4 Standard Operating Protocol For Fire-safety JIPMER 2017 Ver 4. Jan 2020
Yes No N/A Comments
Are all alarm call points unobstructed and
d)
clearly visible for emergency use?
8 Fire Prevention — Portable Fire-fighting Equipment
Yes No N/A Risk Comments
Is there adequate provision of portable fire
a)
extinguishers?
Are all portable fire extinguishers suitably
located, positioned on brackets securely
b)
fixed to the wall and available for immediate
use — not obstructed or hidden?
Is there a Comprehensive list of fire
c) extinguisher, firefighting equipments & alarm
system available in your block
Date of list provided by maintaining agency &
d)
the list updated on (date)
9 Fire Prevention — Notices and Fire Safety Signs
Yes No N/A Risk Comments
Are sufficient appropriate fire safety notices
a)
and signs used throughout the premises?
Are all fire safety signs throughout the
b) premises present, undamaged and clearly
visible?
10 Fire Prevention — Fire Service Facilities and Liaison
Yes No N/A Risk Comments
Is there adequate access to Building set
back areas are clear to enable fire brigade
a)
vehicles to get close enough for fire-fighting
and rescue purposes?
Are all fire hydrants in the vicinity clearly
b)
indicated and accessible?
11 Action report
Action/ steps taken against the mentioned complaints/ issues (date of letter dispatched regarding the same) –
kindly mention to whom the issues were discussed & informed.
1.

2.

Audit undertaken by (departmental coordinator


name) FSDC

Audit verified by (HOD signature )

Page 4 of 4 Standard Operating Protocol For Fire-safety JIPMER 2017 Ver 4. Jan 2020

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