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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

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

Please give details..(Required)

Call Point 2 - Stairway(Required)

Yes

Please give details..(Required)

Call Point 3 - Squash Court Stairway(Required)

Yes

Please give details..(Required)

Call Point 4 - Staff Room(Required)

Yes

Please give details..(Required)

Call Point 5 - Changing Rooms(Required)

Yes

Please give details..(Required)

Call Point 6 - Plant Room(Required)

Yes

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

Please give details..(Required)

Emergency Exit 2 - Changing Rooms(Required)

Yes

Please give details..(Required)

Emergency Exit 3 - Poolside(Required)

Yes

Please give details..(Required)

Emergency Exit 4 - Squash Court(Required)

Yes

Please give details..(Required)

Emergency Exit 5 - Staff Room(Required)

Yes

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

Please give details..(Required)

Smoke Detector 2 - Arcade Rear(Required)

Yes

Please give details..(Required)

Smoke Detector 3 - Teen/Games Room(Required)

Yes

Please give details..(Required)

Smoke Detector 4 - Soft Play Area(Required)

Yes

Please give details..(Required)

Smoke Detector 5 - Middle Of Changing Rooms(Required)

Yes

Please give details..(Required)

Smoke Detector 6 - Staff Room(Required)

Yes

Please give details..(Required)

Smoke Detector 7 - Squash Court Viewing Balcony(Required)

Yes

Please give details..(Required)

Smoke Detector 8 - Plant Room(Required)

Yes

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

Please give details..(Required)

Fire Extinguisher 2 - Leisure Kiosk - CO²(Required)

Yes

Please give details..(Required)

Fire Extinguisher 3 - Stairway - Water(Required)

Yes

Please give details..(Required)

Fire Extinguisher 4 - Plant Room - Powder(Required)

Yes

Please give details..(Required)

Fire Extinguisher 5 - Squash Court Stairway - Water(Required)

Yes

Please give details..(Required)

Fire Extinguisher 6 - Leisure Office - CO²(Required)

Yes

Please give details..(Required)

Fire Extinguisher 7 - Arcade Area, Left Side - CO²(Required)

Yes

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

Please give details..(Required)

Emergency Light 2 - Arcade Area, In front of Entrance(Required)

Yes

Please give details..(Required)

Emergency Light 3 - Arcade Area, Adjacent to Centre Pillar(Required)

Yes

Please give details..(Required)

Emergency Light 4 - Arcade Area – In front of Leisure Kiosk(Required)

Yes

Please give details..(Required)

Emergency Light 5 - Arcade Area, Leading to Teen/Games Room(Required)

Yes

Please give details..(Required)

Emergency Light 6 - Teen/Games Room Entrance(Required)

Yes

Please give details..(Required)

Emergency Light 7 - Teen/Games Room, Above Leisure Office Door(Required)

Yes

Please give details..(Required)

Emergency Light 8 - Teen/Games Room, Leading to Soft Play Area(Required)

Yes

Please give details..(Required)

Emergency Light 9 - Soft Play Area, Above Entrance to Soft Play Area(Required)

Yes

Please give details..(Required)

Emergency Light 10 - Stairway, Above Emergency Exit(Required)

Yes

Please give details..(Required)

Emergency Light 11 - Stairway, Adjacent to Upstairs Toilets(Required)

Yes

Please give details..(Required)

Emergency Light 12 - Downstairs Viewing Area, Ajacent to Accessiable Toilet(Required)

Yes

Please give details..(Required)

Emergency Light 13 - Downstairs Viewing Area, Adjacent to Window Pillar(Required)

Yes

Please give details..(Required)

Emergency Light 14 - Upstairs Viewing Area, Adjacent to Entrance Door(Required)

Yes

Please give details..(Required)

Emergency Light 15 - Upstairs Viewing Area, Adjacent to Window Pillar(Required)

Yes

Please give details..(Required)

Emergency Light 16 - Upstairs Viewing Area, Adjacent to Staff Room Entrance(Required)

Yes

Please give details..(Required)

Emergency Light 17 - Staff Room – In front of Entrance Door(Required)

Yes

Please give details..(Required)

Emergency Light 18 - Staff Room, Above Emergency Exit(Required)

Yes

Please give details..(Required)

Emergency Light 19 - External, Emergency Escape Stairs(Required)

Yes

Please give details..(Required)

Emergency Light 20 - Changing Rooms, Infront of Changing Rooms Entrance(Required)

Yes

Please give details..(Required)

Emergency Light 21 - Changing Rooms, Adjacent to Window(Required)

Yes

Please give details..(Required)

Emergency Light 22 - Changing Rooms, Adjacent to Female Toilets(Required)

Yes

Please give details..(Required)

Emergency Light 23 - Changing Rooms, Adjacent to Male Toilets(Required)

Yes

Please give details..(Required)

Emergency Light 24 - Changing Rooms, Adjacent to Family Changing Cubicals(Required)

Yes

Please give details..(Required)

Emergency Light 25 - Changing Rooms, Adjacent to Lockers(Required)

Yes

Please give details..(Required)

Emergency Light 26 - Changing Rooms, Leading to Showers(Required)

Yes

Please give details..(Required)

Emergency Light 27 - Changing Rooms, Above Door Leading to Emergency Exit(Required)

Yes

Please give details..(Required)

Emergency Light 28 - Changing Rooms Emergency Exit Corridor, Above Emergency Exit(Required)

Yes

Please give details..(Required)

Emergency Light 29 - Male Toilets, Above Entrance(Required)

Yes

Please give details..(Required)

Emergency Light 30 - Female Toilets, Above Entrance(Required)

Yes

Please give details..(Required)

Emergency Light 31 - Plant Room, Above Entrance(Required)

Yes

Please give details..(Required)

Emergency Light 32 - Pool Hall, Shallow End(Required)

Yes

Please give details..(Required)

Emergency Light 33 - Pool Hall, Adjacent to Lifeguard Tower(Required)

Yes

Please give details..(Required)

Emergency Light 34 - Pool Hall, Above Emergency Exit(Required)

Yes

Please give details..(Required)

Emergency Light 35 - Pool Hall, Next to Squash Court Entrance(Required)

Yes

Please give details..(Required)

Emergency Light 36 - Squash Court Stairway, Above Entrance(Required)

Yes

Please give details..(Required)

Emergency Light 37 - Squash Court Stairway, Above Emergency Exit(Required)

Yes

Please give details..(Required)

Emergency Light 38 - Squash Court Stairway, Squash Court Viewing Balcony(Required)

Yes

Please give details..(Required)

Declaration

Date(Required)

DD slash MM slash YYYY

Time(Required)

Hours

Minutes

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

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)

Did the call point successfully raise the alarm?(Required)

Yes

Please give details..(Required)

Did all visual and auditory aids operate as normal?(Required)

Yes

Please give details..(Required)

Did any linked systems operate as normal?(Required)

Yes

Please give details..(Required)

Declaration

Date(Required)

DD slash MM slash YYYY

Time(Required)

Hours

Minutes

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

Share your Flower of May memories

Ready for a weekend of fun family time

Post by Rebecca

Stayed at Riverside Meadows

Our 20th year!

Post by Christine

Stayed at Flower of May

Geese coming home to roost

Post by Ray & Jenny

Stayed at Goosewood Park

to never miss out on our latest great deals...

Subscribe now

Book your holiday today
call us 01723 584311

Book online

Contact & find us

H&S

Weekly Fire Detection & Equipment Inspection - FOM Leisure

Fire Alarm Panel

Break Glass Call Points

Emergency Exits

Fire Detection Systems

Fire Extinguishers

Emergency Lighting

Declaration

Weekly Fire Alarm Testing - FOM Leisure

Weekly Fire Alarm Testing

Fire Alarm Test Result

Declaration

Share your Flower of May memories

Ready for a weekend of fun family time

Our 20th year!

Geese coming home to roost

to never miss out on our latest great deals...

Book your holiday today call us 01723 584311

Book your holiday today
call us 01723 584311