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Name of Workplace:
Date Inspected:
ITEMS
1. Do the school premises have fire
extinguishers?
2. Does the location of fire extinguisher
accessible and easily identifiable?
3. Does the Safety Seals and tamper
indicators not broken or missing?
4. Is it positioned at a height no higher
than four feet?
5. Are the labels are clear, extinguisher
type and instructions can be read easily.
6. Is the nozzle (hose) and safety pin
intact?
7. Is the anti-tamper (plastic) seal
intact?
8. Does the gauge show in the green
fully charged?
9. Is the Service company tag attached,
signed and dated (annual)?
10. Is there Evacuation Plan in case of
emergencies?
11. Does the Evacuation Plan clearly
displayed and understandable?
12. Is the access to all entrances,
walkways, and emergency exits kept
clear and unblocked at all times?
13. Does the plan contain a list of
contact information for local emergency
responders?
14. Does it have separate restrooms for
men and women?
15. Is proper maintenance of school
facilities (restrooms, clinic, rooms,
libraries and canteen) conducted?
16. Are floors, stairs and access ways
kept unobstructed, clean, and dry and
in good condition at all times?
Inspected By:
Date Completed:
YE
S
NO
REMARKS