You must have JavaScript enabled to use this form. This form is for Building Floor Wardens to help guide and record their regular, informal inspections. Excerpt from the Building Emergency Response Plan: The Building Floor Wardens MUST be familiar with their assigned areas to ensure a safe and orderly evacuation. Be familiar with the location of pull stations, fire extinguishers, evacuation routes and assembly areas in real life rather than just on a map Building Floor Wardens should conduct informal inspections focused on fire safety. They should check their floor or area regularly ___ Floor Warden Name * Floor Warden Area * Building A North, ground floor (rms x00-x09) Building A North, second floor (rms x00-x09) Building A South 1, ground floor (rms x10-x16) Building A South 1, second floor (rms x10-x16) Building A South 2, ground floor (rms x17-x26) Building A South 2, second floor (rms x17-x27) Building B East, ground floor (rms x27-x41) Building B East, second floor (rms x27-x41) Common Kitchen Office Green Commons Coach House Graham House Guest House ___ Is the area free from the accumulation of combustible or flammable materials and rubbish? * Yes No Is the area clear of dangerous ignition sources (e.g. worn extension cords, oily rags, overheating equipment)? * Yes No Is the area clear of hazardous equipment (e.g. portable heaters must never be left on unattended) and that heat emitting equipment is not next to cardboard boxes, paper, or any combustible materials? * Yes No In the area, are exit signs in good order and is there adequate lighting in public corridors and stairwells? * Yes No In the area, are fire and exit doors and their self-closing hardware in good operating condition (Doors should not be wedged open under any conditions)? * Yes No In the area, are exit routes (means of egress) clear and unobstructed? * Yes No In the area, are portable fire extinguishers unobstructed, in good order and ready to use? * Yes No In the area, are Emergency Response Key Plans correct? * Yes No Notes Leave this field blank