Floor Warden Informal Inspection 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

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Floor Warden Name *

Floor Warden Area *

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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