P. O. Box: 261032, Dubai, U.A.E. Tel: 04 – 2821182, Fax: 04 - 2820215 E-mail: dynatechsafety@eim.ae

FIRE SAFETY INSPECTION Sl.No Item to be Inspected Satisfactory Unsatisfactory Remarks

1 Emergency response

a. Fire exits

b. Escape routes

2 Fire Extinguishes and Inspection

3 Hose reels and Inspection

4 Fire detection, fire alarm system and Inspection

5 Sprinkler system and Inspection

6 Fire pump and Inspection

7 Emergency procedure

8 Assembly point

9 Fire signs and posters display

10 Set backs for fire fighting

Any other observations:

Name : Signature : Date:

Remarks – Site Safety Inspection:

Safety Consultant

Form #DSSS/S/010