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Fire Equipment Check Tool

Factory Name: PT. PANEN MAS JOGJA


Factory ID: 36160920
Audit Date:

Emergency Lights at Secondary Emergency Exits Barred Windows Emergency Lights at Escape Trained Emergency Response
Fire Safety Equipment / Measure Fire Extinguishers Fire Alarm Points Evacuation Maps Exit Signs Fire Hoses Emergency Exits Routes Personnel
Sprinker / Sprinkler System ( Jalur darurat sementara ( Pintu Bar -
( Peralatan Keselamatan Kebakaran / Ukuran ) ( APAR ) ( Alarm Kebakaran ) ( Petunjuk Jalur Evakuasi ) ( Tanda Keluar ) ( Selang Api ) ( Lampu Darurat dan Jalur ) dorong keluar ) ( Lampu Darurat dan Rute ( Orang yg sudah dilatih &
Darurat ) Keluar ) terlatih )

No.
To be filled
To be filled To be filled in To be filled in To be filled in To be filled in by To be filled in in by To be filled in To be filled in To be filled in To be filled in by To be filled in To be filled in
To be filled in by Factory: in by by Factory: by Factory: No. Checked by Factory: No. Checked Factory: Total No. by Factory: No. Checked Factory: No. Checked by Factory: No. Checked by Factory: No. Checked by Factory: No. Checked Factory: No. that by Factory: No. Checked by Factory: No. available
Department / Utilities Section Factory: No. Floor Area Total Total equipment No. Checked Total Total Total Total Total can be released Total Total at floor
of Workers (Sqft) equipment No. equipment No. equipment No. equipment equipment No. equipment No. equipment No. from inside equipment No. equipment No.
No.

1 WARE HOUSE 20 500 2 1 2 1 0 0 1 1 0 1 17

2 CUTTING 50 800 3 3 4 0 0 1 0 1

3 SAMPLE 30 100 2 2 2 0 0 0 0 1

4 MECHANIC 14 50 1 1 1 0 0 0 0 0 0

5 SEWING 1 292 800 3 2 1 0 0 0 0 1

6 SEWING 2 340 900 3 2 2 0 0 0 0 0

7 SEWING 3 96 850 2 2 1 0 0 0 0 1

8 PACKING / FINISHING 50 900 3 1 2 1 0 1 0 0 2

9 OFFICE 15 80 2 1 2 0 0 1 0 1

10 SECURITY & CUSTOM 13 25 2 1 0 0 0 0 0 0

11 MOUSQUE & URINOIR 0 75 1 0 0 0 0 0 0 0

12 OPEN SPACE 0 1420 0 0 0 0 0 0 0 0

13 TPS 0 8 1 0 0 0 0 0 0 0

TOTAL 920 6,508 25 0 3 0 18 0 14 0 0 0 0 0 2 0 3 0 0 8 0 17 0


Fire Safety Audit Trail Tool
Instructions for Use

1) Please send the Fire Safety Audit Trail Tool to all new factories along with the Pre-Audit or Scheduling Questionnaire and ask them to complete the
document.
2) Please ask the factory to provide the completed document to the auditors during the opening meeting.

3) During the audit, the Third Party Audit Firm to verify if factory information provided is accurate by cross-verifying with records and documentation on
fire safety equipment.
During the audit, the Third Party Audit Firm to complete the column: ‘Number Checked’ for each type of 'Fire Safety Equipment/Measure' by
4) indicating the number of equipment checked by the auditors

5) For audits that have already been scheduled, Third Party Audit Firms to gather information during the actual audit. We suggest to hand the Audit Trail
Tool template over at the time of the opening meeting for the factory to complete the column ‘Total Equipment Number’ for each type of fire
equipment. Once the factory management has handed the completed Audit Trail Tool Template to the audit firm, auditors to complete the column
'Number Checked' for the each type of 'Factory Safety Equipment/Measure' by indicating the number of equipment checked by the auditors.
6) Please upload the completed Fire Safety Audit Trail Tool into Retail Link when uploading the other audit related documents.

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