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?