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Home / Weekly Fire Detection & Equipment Inspection – FOM Bar

Weekly Fire Detection & Equipment Inspection – FOM Bar

Flower of May Holiday Park – Bar Complex

Step 1 of 7

14%

Fire Alarm Panel

Location: Rear of Cellar on Left Side

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 - Main Entrance(Required)

Yes

No

Please give details..(Required)

Call Point 2 - Downstairs, Next to West Side Emergency Exit(Required)

Yes

No

Please give details..(Required)

Call Point 3 - Downstairs, Next to East Side Emergency Exit(Required)

Yes

No

Please give details..(Required)

Call Point 4 - Behind Downstairs Bar(Required)

Yes

No

Please give details..(Required)

Call Point 5 - Upstairs Bar Area, Next to Cellar Door(Required)

Yes

No

Please give details..(Required)

Call Point 6 - Entrance to Upstairs Bar Area(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 - Downstairs, West Side(Required)

Yes

No

Please give details..(Required)

Emergency Exit 2 - Downstairs, East Side(Required)

Yes

No

Please give details..(Required)

Emergency Exit 3 - Downstairs Adult Room, West Side(Required)

Yes

No

Please give details..(Required)

Emergency Exit 4 - Upstairs Cellar(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 - Main Entrance(Required)

Yes

No

Please give details..(Required)

Smoke Detector 2 - Downstairs Bar Area, West Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 3 - Downstairs In Front Of Stage, Left Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 4 - Downstairs In Front Of Stage, Right Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 5 - Downstairs Bar Area, Central(Required)

Yes

No

Please give details..(Required)

Smoke Detector 6 - Downstairs Bar Area, Adjacent To Adult Room Entrance(Required)

Yes

No

Please give details..(Required)

Smoke Detector 7 - Downstairs Adult Room, Right Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 8 - Downstairs Adult Room, Left Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 9 - Downstairs Adult Room, Bottom End(Required)

Yes

No

Please give details..(Required)

Smoke Detector 10 - Downstairs Cellar, End Of Room(Required)

Yes

No

Please give details..(Required)

Smoke Detector 11 - Downstairs Cellar, Central(Required)

Yes

No

Please give details..(Required)

Smoke Detector 12 - Upstairs Cellar, Central(Required)

Yes

No

Please give details..(Required)

Smoke Detector 13 - Upstairs Stage Area, Right Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 14 - Upstairs Stage Area, Left Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 15 - Upstairs Bar Area, West Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 16 - Upstairs Bar Area, In Front of Bar(Required)

Yes

No

Please give details..(Required)

Smoke Detector 17 - Upstairs Bar, Behind Bar(Required)

Yes

No

Please give details..(Required)

Smoke Detector 18 - Upstairs Bar, Glass Wash Room(Required)

Yes

No

Please give details..(Required)

Smoke Detector 19 - Upstairs Bar, Back Room, Left Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 20 - Upstairs Bar Area, Right Side(Required)

Yes

No

Please give details..(Required)

Smoke Detector 21 - Upstairs Landing, Entrance to Upstairs Bar Area(Required)

Yes

No

Please give details..(Required)

Smoke Detector 22 - Upstairs, Roof Crawl Space(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 - Main Entrance - Foam(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 2 - Downstairs, Next To Accessible Toilet – Foam(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 3 - Downstairs, Next To Stage - CO2(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 4 - Downstairs Adult Room, Next To Emergency Exit – Foam(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 5 - Downstairs Bar, Glass Wash Room – CO2(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 6 - Downstairs Cellar, Next To Door – CO2(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 7 - Downstairs Cellar, Opposite Electrical Braker Box - CO2(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 8 - Upstairs Cellar, Underneath Electrical Braker Box - CO2(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 9 - Upstairs Bar Area, In Front of Bar - CO2(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 10 - Upstairs Bar Area, In Front of Bar - Water(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 11 - Upstairs Landing - Foam(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 12 - Upstairs Bar, Back Room - Foam(Required)

Yes

No

Please give details..(Required)

Fire Extinguisher 13 - Upstairs Bar, Outside North Side Toilets - Water(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, Above Entrance Doors(Required)

Yes

No

Please give details..(Required)

Emergency Light 2 - Main Entrance, Bottom of Stairs(Required)

Yes

No

Please give details..(Required)

Emergency Light 3 - Downstairs Male Toilets(Required)

Yes

No

Please give details..(Required)

Emergency Light 4 - Downstairs Female Toilets(Required)

Yes

No

Please give details..(Required)

Emergency Light 5 - Downstairs Bar Area, Above Emergency Exit, West Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 6 - Downstairs Bar Area, In Front of Stage, Left Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 7 - Downstairs Bar Area, Above Emergency Exit Next to Stage(Required)

Yes

No

Please give details..(Required)

Emergency Light 8 - Downstairs Bar Area, Central(Required)

Yes

No

Please give details..(Required)

Emergency Light 9 - Downstairs Bar Area, Above Door Leading To Main Entarnce(Required)

Yes

No

Please give details..(Required)

Emergency Light 10 - Downstairs Bar Area, In Front of Bar(Required)

Yes

No

Please give details..(Required)

Emergency Light 11 - Downstairs Bar Area, Above Door Leading To Adult Room(Required)

Yes

No

Please give details..(Required)

Emergency Light 12 - Downstairs Adult Room, Right Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 13 - Downstairs Adult Room, Above Emergency Exit Door, West Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 14 - Downstairs Adult Room, Adjacent to Faux Patio Doors(Required)

Yes

No

Please give details..(Required)

Emergency Light 15 - Downstairs Adult Room, Bottom End(Required)

Yes

No

Please give details..(Required)

Emergency Light 16 - Downstairs Cellar, Central(Required)

Yes

No

Please give details..(Required)

Emergency Light 17 - Downstairs Cellar, Adjacent To Electrical Braker Box(Required)

Yes

No

Please give details..(Required)

Emergency Light 18 - Upstairs Cellar, Top of Stairs(Required)

Yes

No

Please give details..(Required)

Emergency Light 19 - Upstairs Cellar, Above Emergency Exit Door(Required)

Yes

No

Please give details..(Required)

Emergency Light 20 - Upstairs Bar Area, Right Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 21 - Upstairs Bar Area, Left Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 22 - Upstairs, Male Toilets, North Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 23 - Upstairs, Female Toilets, North Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 24 - Upstairs Bar Area, In Front of Entrance to Upstairs Bar Area(Required)

Yes

No

Please give details..(Required)

Emergency Light 25 - Upstairs Bar Area, Above Door Leading to Upstairs Landing(Required)

Yes

No

Please give details..(Required)

Emergency Light 26 - Upstairs Landing(Required)

Yes

No

Please give details..(Required)

Emergency Light 27 - Upstairs Bar, Behind Bar(Required)

Yes

No

Please give details..(Required)

Emergency Light 28 - Upstairs Bar Area, South Toilets Corridor(Required)

Yes

No

Please give details..(Required)

Emergency Light 29 - Upstairs, Male Toilets, South Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 30 - Upstairs, Female Toilets, South Side(Required)

Yes

No

Please give details..(Required)

Emergency Light 31 - Upstairs Bar, Back Room, Above Door Leading to South Toilet Corridor(Required)

Yes

No

Please give details..(Required)

Emergency Light 32 - Upstairs Bar, Back Room, Adjacent To Door Leading to South Toilet Corridor(Required)

Yes

No

Please give details..(Required)

Emergency Light 33 - Upstairs Bar, Back Room, Central(Required)

Yes

No

Please give details..(Required)

Emergency Light 34 - Upstairs Bar, Back Room, Above Door Leading To Main Bar Area(Required)

Yes

No

Please give details..(Required)

Emergency Light 35 - External, Downstairs, Above Emergency Exit Next To Stage(Required)

Yes

No

Please give details..(Required)

Emergency Light 36 – External, Upstairs, Above Emergency Exit(Required)

Yes

No

Please give details..(Required)

Emergency Light 37 – External, Downstairs, Above Adult Room West Side Emergency Exit(Required)

Yes

No

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

Δ

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