RECEPTION, OFFICE Record Sheet for 20…………. Record of Routine Safety Checks for: January February March (Full Date) (Full Date) (Full Date) Safety Escape Routes / Slips & Trips / Fire Hazards Safety Fire Detection & Alarm Safety Fire Detection & Alarm Issues Fire Detection & Alarm / Emergency Lighting Issues Emergency Lighting Issues Emergency Lighting Inspected: Inspected: Inspected: Fire Extinguishers / Normal Lighting First Aid Kit / Asbestos / Machinery & Equipment Comment: Comment: Comment: Signature: Signature: Signature: April May June (Full Date) (Full Date) (Full Date) Safety Escape Routes / Slips & Trips / Fire Hazards Safety Fire Detection & Alarm Safety Fire Detection & Alarm Issues Fire Detection & Alarm / Emergency Lighting Issues Emergency Lighting Issues Emergency Lighting Inspected: Fire Extinguishers / Normal Lighting Inspected: Inspected: Evacuation Comment: Comment: Comment: Signature: Signature: Signature: July August September (Full Date) (Full Date) (Full Date) Safety Escape Routes / Slips & Trips / Fire Hazards Safety Fire Detection & Alarm Safety Fire Detection & Alarm Issues Fire Detection & Alarm / Emergency Lighting Issues Emergency Lighting Issues Emergency Lighting Inspected: Fire Extinguishers / Normal Lighting Inspected: Inspected: First Aid Kit Comment: Comment: Comment: Signature: Signature: Signature: October November December (Full Date) (Full Date) (Full Date) Safety Escape Routes / Slips & Trips Safety Fire Detection & Alarm Safety Fire Detection & Alarm Issues Fire Hazards / Fire Detection & Alarm Issues Emergency Lighting Issues Emergency Lighting Inspected: Emergency Lighting / Fire Extinguishers Inspected: Inspected: Normal Lighting Comment: Comment: Comment: Signature: Signature: Signature:
Record Sheet for 20…………. Record of Routine Safety Checks for: RECEPTION, OFFICE January (Full Date) February (Full Date) March (Full Date) Safety Issues Inspected: Escape Routes / Slips & Trips / Fire Hazards Fire Detection & Alarm / Emergency Lighting Fire Extinguishers / Normal Lighting First Aid Kit / Asbestos / Machinery & Equipment Safety Issues Inspected: Fire Detection & Alarm Emergency Lighting Safety Issues Inspected: Fire Detection & Alarm Emergency Lighting Comment: Comment: Comment: Signature: Signature: Signature: April (Full Date) May (Full Date) June (Full Date) Safety Issues Inspected: Escape Routes / Slips & Trips / Fire Hazards Fire Detection & Alarm / Emergency Lighting Fire Extinguishers / Normal Lighting Safety Issues Inspected: Fire Detection & Alarm Emergency Lighting Safety Issues Inspected: Fire Detection & Alarm Emergency Lighting Evacuation Comment: Comment: Comment: Signature: Signature: Signature: July (Full Date) August (Full Date) September (Full Date) Safety Issues Inspected: Escape Routes / Slips & Trips / Fire Hazards Fire Detection & Alarm / Emergency Lighting Fire Extinguishers / Normal Lighting First Aid Kit Safety Issues Inspected: Fire Detection & Alarm Emergency Lighting Safety Issues Inspected: Fire Detection & Alarm Emergency Lighting Comment: Comment: Comment: Signature: Signature: Signature: October (Full Date) November (Full Date) December (Full Date) Safety Issues Inspected: Escape Routes / Slips & Trips Fire Hazards / Fire Detection & Alarm Emergency Lighting / Fire Extinguishers Normal Lighting Safety Issues Inspected: Fire Detection & Alarm Emergency Lighting Safety Issues Inspected: Fire Detection & Alarm Emergency Lighting Comment: Comment: Comment: Signature: Signature: Signature:
Parish-Safety-Inspection-Record-Sheet-V1.docx