Fire Blanket Checklist

Enter you access number here:

These records are in line with the requirements of AS1851 2012

Name and Address of building or site: *

Street Address

Street Address Line 2

CityState

Postcode

Date of Inspection:*

DateHourMinutes

Date + 5 Months

Date

Location of the Fire Blanket:

System or equipment identification and location:

Australian Standards 1851-2016

Fire blankets shall bear a permanently fixed, unique site identification mark, suitable for cross-referencing with the service records. The mark shall consist of at least one of the following:
(a)Written numbers, letters or a combination of both.
(b)A barcode.
(c)A magnetic or electronic strip or similar (e.g. a smart chip).

We shall be using a smart chip.

6 Monthly check, click appropriate box when checked:

	Action Reqd	Passed	Failed	N/A
CHECK that the fire blanket is: (a) Conspicuous. (b) In its assigned location. (c) Readily accessible. (d) Installed in accordance with AS 2444.
CHECK that the location sign is visible and correct.
CHECK that the fire blanket container: (a) Is securely and correctly supported. (b) Is clean and free from damage. (c) Has clear and legible instructions thereon. (d) Has a service record tag/label attached
REMOVE the fire blanket from the container and check: (a) For any damage or contamination to the fire blanket (refer also Clause 11.2.4). (b) For unsecured or damaged hand-holding devices. (c) That the fire blanket is correctly folded. Where the fire blanket conforms to the above, REPACK the blanket into the container as recommended by the manufacturer. NOTE: It is important that fire blankets are always folded in the manner prescribed by the manufacturer in order that they can be removed from the container quickly (see AS/NZS 3504).

Name of responsible entity (Owner/Occupier)

First NameLast Name

Email of Owner/Occupier

example@example.com

If you wish to take a photo of any issues using your smartphone or tablet, click on the "Take Photo" below:

Take Photo

Observations/defects/rectifications record here:

Date*

DateHourMinutesAM/PM Option

Name of the service provider or company:

Enter the email address of the person completing the check here:

example@example.com