Introduction to Fire Safety Management

Part B 
I certify that the following precautions have been taken: 
(contractor to complete)
 Fire 
Protection
• 
Where fi re detection systems are installed, they have been 
isolated (in work area only) 
Yes 
No 
N/A
• 
Where sprinklers are installed they have been isolated (in 
work area only) 
Yes 
No 
N/A
• 
Personnel involved with the work and providing the fi re watch 
are familiar with the means of escape and method of raising
Yes 
No 
N/A
the alarm/calling the fi re brigade
Precautions within 10 metres (minimum) of the work
• 
Combustible materials have been cleared from the area. Where 
materials cannot be removed, protection has been provided by 
Yes 
No 
N/A
non-combustible or purpose-made blankets, drapes or screens
• 
Flammable liquids have been removed from the area 
Yes 
No 
N/A
• 
Floors have been swept clean and are free from combustible 
material and dust 
Yes 
No 
N/A
• 
Combustible fl oors have been covered with overlapping 
sheets of non-combustible material or wetted and liberally 
covered with sand. All openings and gaps (combustible fl oors 
or otherwise) are adequately covered 
Yes 
No 
N/A
• 
Protection (non-combustible or purpose-made blankets, 
drapes or screen) has been provided for walls, partitions and 
ceilings of combustible construction or surface fi nish 
Yes 
No 
N/A
• 
All holes and other openings in walls, partitions and ceilings 
through which sparks could pass have been fi re stopped or 
otherwise 
protected 
Yes 
No 
N/A
• 
Combustible materials have been moved away from the far 
side of walls or partitions where heat could be conducted, 
especially where these incorporate metal 
Yes 
No 
N/A
• 
Enclosed equipment (tanks, containers, dust collectors etc) 
have been emptied and tested, or is known to be free of 
fl ammable concentrations of vapour or dust (see atmospheric 
test results below) 
Yes 
No 
N/A
Equipment
• 
All equipment to be used for hot work has been checked and 
found in good order 
Yes 
No 
N/A
• 
Gas cylinders (when in use) have been properly secured and 
are 
fi tted with appropriate protection devices (fl ash back
Yes 
No 
N/A
arrestors, 
etc.) 
• 
Fire extinguishers have been serviced in accordance with
Yes 
No 
N/A
manufacturers’ 
instructions

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