Lumiform
Features Solutions Resources Templates Enterprise Pricing
Select a language
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
en
Contact salesLog in
Sign up
Back
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
Features Solutions Resources Templates Enterprise Pricing
Free demo
Log in
en
Book a personal demoView video demoContact sales
Explore
Resource hubCentral repository for all Lumiform resourcesCustomer storiesReal-world successes and experiences with Lumiform.
Learn
Template collectionsComprehensive collections of best practice templates.Topic guidesComprehensive safety, quality, and excellence insights.LexiconDefinitions key to quality, safety, and compliance.
Support
Developer's guideTechnical documentation for developers.Help centerAssistance with onboarding and platform mastery.
Featured reads
Explore our collection of 38 free preventive maintenance checklists

Template collection

Explore our collection of 38 free preventive maintenance checklists

Start reading
Your guide to performing and documenting efficient child care observation

Topic guide

Your guide to performing and documenting efficient child care observation

Start reading
Lumiform as customer journey mapping tool in gastronomy

Success story

Lumiform as customer journey mapping tool in gastronomy

Start reading
Book a personal demoView video demoContact sales
By industry
Food and hospitalityManufacturingConstructionRetailTransport and logisticsFacility managementView all industries
By business needs
Health and safety managementQuality managementOperational excellenceRisk management and complianceView all business needs
By use case
Safety management softwareEnergy audit appForklift inspection appBuilding management softwareVehicle inspection appQMS appKaizen method appProperty inspection appRestaurant inspection appElevator management appProject management softwareFire inspection app
View all app uses
Book a personal demoView video demoContact sales
Overview
Template libraryDiscover over 12,000 free, ready-made and expert proofed templates.
Use cases
CleaningMaintenanceRisk assessmentSupply chainIncident management
Business needs
Health and safety managementQuality managementOperational excellenceRisk management and compliance
Industries
Food and hospitalityManufacturingRetailTransport and logisticsConstructionFacility management
Book a personal demoView video demoContact sales
Overview
Product overviewAll features
Capabilities
Digitize
Form builderMobile AppActions
Automate
Workflow automationApprovalsIntegrations
Transparency and accountability
ReportsAnalytics
Orchestrate
Administration
Book a personal demoView video demoContact sales
Templates
Building fire safety survey template

Building fire safety survey template

Use this building fire safety survey template to define fire safety measures within the building.

Use this template
or download pdf
Building fire safety survey template

Use this building fire safety survey template to define fire safety measures within the building.

Use this template
or download pdf

About the Building fire safety survey template

A Building Fire Safety Survey is a comprehensive assessment of the fire safety measures in place in a building. It covers all aspects of fire safety, from fire alarms and emergency lighting to fire doors and escape routes. It is designed to identify any potential fire safety hazards and to recommend corrective actions.

A Building Fire Safety Survey is a survey conducted to assess the safety of a building in the event of a fire. It evaluates the potential fire hazards and safety measures that are in place to prevent and respond to a fire. The survey includes an inspection of the structure and equipment, such as smoke detectors, fire extinguishers, and emergency exits, as well as an assessment of fire safety protocols and procedures. The survey aims to identify potential risks and provide recommendations for reducing them. It is an important step in ensuring that a building is properly equipped to protect occupants in the event of a fire.

Related categories

  • Fire safety templates
  • Maintenance templates
  • Workplace safety templates
Preview of the template
Audit
Table 1. Users
Program
Other:
Unit:
Bld Contact:
Telephone:
Email:
Table 2. Occupancy
Frequency of survey
Date of last survey:
Building function
Asset Classification
Asset Classification Form completed? (MFPE Chapter 1, Annex A)
Criticality Assessment Form completed? (MFPE Chapter 1, Annex A)
Year of construction:
Approximate internal building floor area (square metres):
Has occupancy or the usage of the building changed since last FSS?
If yes, has any change / usage been approved by the Region's Director Estate Services Facilities?
If yes, has a certificate of occupancy or equivalent been provided?
Are there any available fire safety-related alternative solutions / Dispensations. If yes, survey to include assessment of maintenance requirements in 'Report Checklist' at page 13A-3.
Table 3. Characteristic
BCA Classification
Table 4. Fire Safety Survey Results
Recommendations from previous survey by status
Outstanding recommendations from previous survey by status
Recommendations from current survey by status
Table 5. Survey Results Summary
Overall current survey status
Date of next survey:
Table 6. Inspecting Officer
Name:
Company:
Position:
Authorized to conduct fire safety surveys?
AIBS Accreditation No:
EEPD file reference:
Company telephone No:
Company email:
I have inspected the building and found it to be substantially in accordance with the findings noted in this fire safety survey report.
Select date
Notes: - the details of the POC for the survey are to be provided in Table 1 - when the fire safety survey is outsourced, the information required to populate Table 2 is to be provided by Defence as part of the tender documentation. - A description of the original use and certification of the building is to be given in Table 2. The reference to floor area in this table is to be the internal measurement available in DEMS that includes all room floor areas within the building and excludes the building fabric. It is noted that this is not a BCA defined measurement of areas. - The building characteristics are to be described in Table 3. - The previous, current and outstanding fire safety survey recommendations are to be provided in Table 4. The outstanding column in this table is to list the recommendations that have not been completed from the previous fire safety survey report. - The status of the current fire safety survey is to be shown in Table 5. - The details of the inspecting officer are to be provided in Table 6.
Report Checklist
DSG Region: DS-SNSW
Building No:
Unit:
S = Satisfactory GS = Generally Satisfactory U = Unsatisfactory XX = Unacceptable Dangerous FA = Further Assessment N = Notes
NOTE: Refer to Report Guidelines at Annex B for further information.
FIRE RESISTANCE
01. Fire rated elements
02. Linings - Floors, wall and ceiling.
03. Compartmentation - Fire
04. Compartmentation - Smoke
05. Bounding construction
06. Essential service separation
07. Protection of external openings
08. Fire rated door-sets
09. Smoke-rated / solid core doors
10. Access panels / service penetrations
EGRESS
11. Number of exits
12. Fire-isolation of exits
13. Travel distances
14. Egress paths
15. Discharge of exits
16. Door swing
17. Door hardware
FIRE SERVICES
18. Fire hydrants
19. Booster system / pump sets
20. Fire hose reels
21. Foam / Foam attachments
SPRINKLERS
22. Fire sprinklers
OTHER SUPPRESSION SYSTEMS
23. Foam
24. Gas inert / synthetic
25. Water mist / other
PORTABLE EQUIPMENT
26. Portable extinguishers
27. Fire blankets
FIRE DETECTION
28. Fire indicator panel
29. Sub-indicator panel / mimic panel
30. Manual call points
31. Smoke / thermal / flame
Alarm acknowledgement module (AAM)
WARNING SYSTEM
32. BOWS / SSISEP / EWIS
SMOKE HAZARD MANAGEMENT
33. Fire and smoke dampers
34. Air-handling shutdown
35. Zone / stairway pressurisation
36. Smoke exhaust / smoke and heat vents
37. Fire fan control panel
EVACUATION LIGHTING SYSTEMS
38. Emergency lighting
39. Exit and directional signs
SPECIAL HAZARDS
40. Dangerous goods storage
41. Flammable goods storage
42. Gas isolation / storage
43. Hazardous area compliance
MISCELLANEOUS
44. Alternative solution report / Dispensation
45. Power supply - Essential services
46. Fire vehicle access and response
47. Housekeeping
48. Other
MAINTENANCE
49. Alternative solution requirements
50. Emergency lighting and exit signs
Evac plans installed? Are the plans AS 3745 compliant?
51. Exit doors and doors in paths of travel
52. Fire and smoke rated elements
53. Fire and smoke dampers
54. Fire detection and alarm systems
55. Fire doors / smoke doors / fire shutters
56. Fire hydrants
57. Fire suppression systems
58. Fire pumps
59. Fire resisting shaft openings
60. Hose reel system / foam attachments (Qty)
61. Lay flat hose
62. Mechanical smoke hazard management
63. Portable fire extinguisher / fire blankets (Qty)
DCP 2.5 kg
DCP 3.0 kg
DCP 4.5 kg
DCP 9.0 kg
CO2 2.0 kg
CO2 3.5 kg
CO2 5.0 kg
Water stored pressure 10 lt
Foam 9 lt
Wet chemical
Other
Location / Type / CMS ID / Comment:
64. Smoke and heat vents
65. Smoke seals to services in paths of travel
66. Wall wetting sprinklers
67. Other fire safety system:
Additional comments:
Report conclusion including any recommendations.
This template was downloaded 199 times

More templates like this

Building Framing Inspection Form
Building Framing Inspection Form
This building framing inspection form guides you when checking a property under construction.
Maintenance templates
Building Inspection Checklist
Building Inspection Checklist
Use this template for a comprehensive building maintenance inspection. Thoroughly inspect the exterior and interior areas and take corrective action.
Maintenance templates
Inspection of Residential Buildings
Inspection of Residential Buildings
Check out this template and inspect the residential building’s electrical, plumbing, and mechanical systems.
Maintenance templates

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
Lumiform logo
Platform
HomeSign upProductAll featuresPricingEnterpriseTrust and securityCustomer success offeringsDownload the app
Solutions
IndustriesFood and hospitalityManufacturingConstructionRetailTransport and logisticsFacility management
Business needsHealth and safety managementQuality managementOperational excellenceCompliance and risk management
Uses cases
Learn
Template collectionsTopic guidesLexiconHelp centerJournalInfographicsVideos
Resources
Lumiform templatesby industryby use caseby business needAll categories
Customer storiesDeveloper APIResource hubIntegrations
Company
AboutJobsLegalBook a demoContact sales
© 2025 LumiformTerms and conditionsPrivacyData processingSitemap
App StoreGoogle play