Document No
FIRE WARDEN MONTHLY
Revision No
CHECKLIST
Issue Date
Page No 1 of 3
Date: Name of Fire Warden:
Facility Location: Fire Warden Telephone/Email:
Question Satisfactory Unsatisfactory
() Give Supporting Comments
1. Are Sufficient Evacuation Procedures and
Fire Orders posted?
2. Are areas free of open flame devices
(candles/incense/etc.)?
3. Flammable Liquids/Gases:
Quantities stored in Approved Storage
Cabinets?
Quantities stored in areas, other than
above?
Total Quantities of Cylinders in use?
4. Waste Materials:
Collected in Covered Containers?
Exterior Collection Point, at least 10ft
(3mtrs) from the building?
Containers emptied at least daily?
5. Emergency Lights & Fire Exit Signage:
Have emergency lights been tested on a
monthly basis and documented?
Are emergency lights clear from dust and
debris?
Is there adequate Fire Escape Signage
throughout the building?
Document No
FIRE WARDEN MONTHLY
Revision No
CHECKLIST
Issue Date
Page No 2 of 3
Is the Fire Escape Signage clearly
identifiable and understandable (Directional
arrows pointing in the correct direction)?
Question Satisfactory Unsatisfactory
() Give Supporting Comments
6. Are Buildings/Facilities free from cooking
devices? (Kitchen’s Exempt)
7. Fire Alarm System / Smoke Detection:
Is the building/facility fitted with Automatic
Fire Detection?
Has a Monthly test been carried out and
documented accordingly?
Has a 6 monthly periodic maintenance been
carried out and documented?
Does the Fire Alarm differ from any other
audible alarms used within or around the
facility?
8. Fire Extinguishers:
Located in Designated Areas?
Unobstructed?
Pin and Seal in place?
Inspected Monthly and Documented?
9. Electrical Safety:
Are outlets, cords and equipment in good
condition and correctly used?
Are Power bars/Plug Adapters CE or UL
compliant?
Are Electrical Isolation Units properly
maintained and circuit breakers
identified/labelled?
Document No
FIRE WARDEN MONTHLY
Revision No
CHECKLIST
Issue Date
Page No 3 of 3
10. Smoking:
Designated Smoking areas Marked?
Proper Smoking Bins/Receptacles
provided?
Is there evidence of smoking in
unauthorized areas?