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H&S
H&S
Weekly Fire Detection & Equipment Inspection - FOM Leisure
Step
1
of
7
14%
Fire Alarm Panel
Location: Behind Leisure Kiosk
Are the buttons on the alarm panel in good visual and working order with no obvious damage or defects?
(Required)
Yes
No
Please give details..
(Required)
Break Glass Call Points
Are the break glass call points in good visual order with no obvious damage or defects?
Call Point 1 - Arcade
(Required)
Yes
No
Please give details..
(Required)
Call Point 2 - Stairway
(Required)
Yes
No
Please give details..
(Required)
Call Point 3 - Squash Court Stairway
(Required)
Yes
No
Please give details..
(Required)
Call Point 4 - Staff Room
(Required)
Yes
No
Please give details..
(Required)
Call Point 5 - Changing Rooms
(Required)
Yes
No
Please give details..
(Required)
Call Point 6 - Plant Room
(Required)
Yes
No
Please give details..
(Required)
Emergency Exits
Is the door and panic bar/push pad in good overall condition?
Does the door open with minimal force?
Emergency Exit 1 - Stairway
(Required)
Yes
No
Please give details..
(Required)
Emergency Exit 2 - Changing Rooms
(Required)
Yes
No
Please give details..
(Required)
Emergency Exit 3 - Poolside
(Required)
Yes
No
Please give details..
(Required)
Emergency Exit 4 - Squash Court
(Required)
Yes
No
Please give details..
(Required)
Emergency Exit 5 - Staff Room
(Required)
Yes
No
Please give details..
(Required)
Fire Detection Systems
Are the Fire Detection Systems in good visual order with no obvious damage or defects?
Are the Fire Detection Systems uncovered and unobstructed?
Smoke Detector 1 - Arcade Front
(Required)
Yes
No
Please give details..
(Required)
Smoke Detector 2 - Arcade Rear
(Required)
Yes
No
Please give details..
(Required)
Smoke Detector 3 - Teen/Games Room
(Required)
Yes
No
Please give details..
(Required)
Smoke Detector 4 - Soft Play Area
(Required)
Yes
No
Please give details..
(Required)
Smoke Detector 5 - Middle Of Changing Rooms
(Required)
Yes
No
Please give details..
(Required)
Smoke Detector 6 - Staff Room
(Required)
Yes
No
Please give details..
(Required)
Smoke Detector 7 - Squash Court Viewing Balcony
(Required)
Yes
No
Please give details..
(Required)
Smoke Detector 8 - Plant Room
(Required)
Yes
No
Please give details..
(Required)
Fire Extinguishers
Are the Fire Extinguishers in good visual order with no obvious damage or defects?
Are the Fire Extinguishers mounted on the wall?
Is the security tag present & intact?
Is the Fire Extinguisher information sticker present & matches the type of extinguisher?
Is the inspection date within the last 12 months?
Is the pressure gauge showing within the acceptable range?
Fire Extinguisher 1 - Arcade Entrance - Foam
(Required)
Yes
No
Please give details..
(Required)
Fire Extinguisher 2 - Leisure Kiosk - CO²
(Required)
Yes
No
Please give details..
(Required)
Fire Extinguisher 3 - Stairway - Water
(Required)
Yes
No
Please give details..
(Required)
Fire Extinguisher 4 - Plant Room - Powder
(Required)
Yes
No
Please give details..
(Required)
Fire Extinguisher 5 - Squash Court Stairway - Water
(Required)
Yes
No
Please give details..
(Required)
Fire Extinguisher 6 - Leisure Office - CO²
(Required)
Yes
No
Please give details..
(Required)
Fire Extinguisher 7 - Arcade Area, Left Side - CO²
(Required)
Yes
No
Please give details..
(Required)
Emergency Lighting
Are the Emergency Lights in good visual order with no obvious damage or defects?
Are the green LED indicators illuminated?
Emergency Light 1 - Main Entrance, Ceiling
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 2 - Arcade Area, In front of Entrance
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 3 - Arcade Area, Adjacent to Centre Pillar
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 4 - Arcade Area – In front of Leisure Kiosk
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 5 - Arcade Area, Leading to Teen/Games Room
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 6 - Teen/Games Room Entrance
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 7 - Teen/Games Room, Above Leisure Office Door
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 8 - Teen/Games Room, Leading to Soft Play Area
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 9 - Soft Play Area, Above Entrance to Soft Play Area
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 10 - Stairway, Above Emergency Exit
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 11 - Stairway, Adjacent to Upstairs Toilets
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 12 - Downstairs Viewing Area, Ajacent to Accessiable Toilet
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 13 - Downstairs Viewing Area, Adjacent to Window Pillar
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 14 - Upstairs Viewing Area, Adjacent to Entrance Door
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 15 - Upstairs Viewing Area, Adjacent to Window Pillar
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 16 - Upstairs Viewing Area, Adjacent to Staff Room Entrance
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 17 - Staff Room – In front of Entrance Door
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 18 - Staff Room, Above Emergency Exit
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 19 - External, Emergency Escape Stairs
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 20 - Changing Rooms, Infront of Changing Rooms Entrance
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 21 - Changing Rooms, Adjacent to Window
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 22 - Changing Rooms, Adjacent to Female Toilets
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 23 - Changing Rooms, Adjacent to Male Toilets
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 24 - Changing Rooms, Adjacent to Family Changing Cubicals
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 25 - Changing Rooms, Adjacent to Lockers
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 26 - Changing Rooms, Leading to Showers
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 27 - Changing Rooms, Above Door Leading to Emergency Exit
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 28 - Changing Rooms Emergency Exit Corridor, Above Emergency Exit
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 29 - Male Toilets, Above Entrance
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 30 - Female Toilets, Above Entrance
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 31 - Plant Room, Above Entrance
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 32 - Pool Hall, Shallow End
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 33 - Pool Hall, Adjacent to Lifeguard Tower
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 34 - Pool Hall, Above Emergency Exit
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 35 - Pool Hall, Next to Squash Court Entrance
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 36 - Squash Court Stairway, Above Entrance
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 37 - Squash Court Stairway, Above Emergency Exit
(Required)
Yes
No
Please give details..
(Required)
Emergency Light 38 - Squash Court Stairway, Squash Court Viewing Balcony
(Required)
Yes
No
Please give details..
(Required)
Declaration
Date
(Required)
DD slash MM slash YYYY
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Full Name
(Required)
Position
(Required)
Agreement
(Required)
By ticking this box I am agreeing to digitally sign this form as the name above
Δ
Weekly Fire Alarm Testing - FOM Leisure
Step
1
of
3
33%
Weekly Fire Alarm Testing
Fire alarm break glass call points are to be tested weekly to ensure their operation successfully raises the fire alarm. All visual & auditory aids should operate as normal, including any linked or 3rd party systems.
A different call point should be tested each week. For example, if you have 6 call points in your department/building, you should have tested all of them by the end of the 6th week before rotating round again.
Use the fire alarm test key to operate the call points. Do not break the glass as part of this test.
Fire Alarm Test Result
Select Break Glass Call Point
(Required)
Call Point 1 - Arcade
Call Point 2 - Stairway
Call Point 3 - Squash Court Stairway
Call Point 4 - Staff Room
Call Point 5 - Changing Rooms
Call Point 6 - Plant Room
Did the call point successfully raise the alarm?
(Required)
Yes
No
Please give details..
(Required)
Did all visual and auditory aids operate as normal?
(Required)
Yes
No
Please give details..
(Required)
Did any linked systems operate as normal?
(Required)
Yes
No
Please give details..
(Required)
Declaration
Date
(Required)
DD slash MM slash YYYY
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Full Name
(Required)
Position
(Required)
Agreement
(Required)
By ticking this box I am agreeing to digitally sign this form as the name above
Δ
Share your Flower of May memories
Winter sunset
Post by
David
Stayed at
Goosewood Park
Spring at Goosewood 2021
Post by
Ray & Jenny
Stayed at
Goosewood Park
Wonderful easter weekend
Post by
Sheryl
Stayed at
Fir Tree Park
See more
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Book your holiday today
call us
01723 584311
Book online
Contact & find us
Buy a caravan
Our holiday parks
Holidays | Seasonal | Ownership
Explore our parks
Flower of May, Scarborough
Goosewood, York
Jacobs Mount, Scarborough
Otterington Park, Northallerton
Touring | Seasonal | Ownership
Muston Grange, Filey
Seasonal & Ownership
Riverside Meadows, Ripon
Fir Tree, Bridlington
Ownership Only
The Lighthouse, Flamborough
Upper Carr, Pickering
Burnside, Scarborough
The Haven, Scarborough
Nursery Garden, Thirsk
Self-catering
Ways to stay
Caravan holidays
Holiday lodges
Glamping pod holidays
Touring
Our Touring Parks
Register your interest – 2025 seasonal pitches
Seasonal Caravan Pitches
Flower of May Touring Park
Goosewood Touring Park
Riverside Meadows Touring Caravan Site
Fir Tree Touring Park
Jacob’s Mount, Scarborough
Muston Grange, Filey
Otterington Park, York
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Check prices and book online