Fire Safety Self Assesment Report

Evaluated by:
#	Check Points	Yes	No
1	There are at least a secondary exit of each floor.
2	Emergency exit doors are unobstructed
3	(During operating hours) Emergency exit doors are unlocked from the inside (panic bar)
4	Emergency exits are marked with red letters in local language(and any other language prevalent in the facility)
5	Emergency exit signs are illuminated (IPS/ with battery backup power)
6	Emergency exits are equipped with emergency lights (IPS/ with battery backup power)
7	Employee workstations are within 200ft (60.96m) of an exit
8	All exits open directly to stairwells or exterior of building
9	All exit doors are at least 36 inches wide
10	All external doors open towards the outside of the building
11	Stairs are constructed of metal, concrete, or some non-combustible material
12	Stairwells are equipped with handrails at appropriate height
13	Stairwells are equipped with emergency lights (IPS/ with battery backup power)
14	All internal doors open towards the nearest exit UNLESS the open door would obstruct emergency evacuation
15	External fire escapes have handrails
16	All aisles are unobstructed
17	Aisles are marked with yellow emergency evacuation lines that lead to exit doors
18	Each workstation has adequate space for emergency evacuation
19	Primary aisles are at least 45 inches wide
20	Audible/visual fire alarm is installed throughout facility
21	Entire building evacuation drills are conducted monthly: must include alarm, evacuation, rally point, documentation (pictures and written log - date, time, # of participants, length of evacuation, etc)
22	Evacuation plans are posted in local language (and any other prevalent languages) and contain: 1. viewer location (you are here -->) 2. evacuation route 3. exits 4. fire fighting equipment
23	Alarm system is tested periodically
24	There is at least one fire extinguisher for every 550 sqft, whichever is greater
25	Extinguishers are clearly marked and easily accessible
26	Employee workstations are no more than 75 feet (23m) from a fire extinguisher/hose
27	Extinguishers are mounted on the wall with carrying handle(top) maximum 4.10 feet from the floor
28	Fire extinguishers are checked monthly: 1. Is each extinguisher in its designated place, clearly visible, and not blocked by equipment, coats or other objects that could interfere with access during an emergency?  2. Is the nameplate with operating instructions legible (in local language) and facing outward? 3. Is the pressure gauge showing that the extinguisher is fully charged (the needle should be in the green zone)? 4. Is the pin and tamper seal intact? 5. Is the extinguisher in good condition and showing no signs of physical damage, corrosion, or leakage? 6. Have all dry powder extinguishers been gently rocked top to bottom to make sure the powder is not packing?
29	Fire equipment is annually inspected by professional agency
30	Fire extinguishers are labeled with the type of fire they are to be used for: Class A - Ordinary combustible material fires Class B - Flammable liquid, gas or grease fires Class C - Electrical equipment fires
31	Fire extinguishers are located by type, in the appropriate areas as indicated above
32	Chemicals/combustible materials are stored in appropriate segregated location
33	MSDS is available in local language (and any prevalent language) in chemical storage and use areas
34	Smoking signs are posted as appropriate outside chemical storage and use areas
35	Sufficient number of employees are regularly trained in the use of fire equipment
36	Employees are made aware of emergency procedures at new employee orientation
37	There are at least 2 safety leaders per workfloor
Special Comments                   ( if there is any)