Name of Hospital/ Medical College: Location: Name, Title, and Mobile number of Primary Contact Person for the Audit: Name of Building / Block: No of Floors: Maximum Occupancy of the Building: Fire Protection System Water Reservoir (Under ground or above ground): Water Storage Capacity (Litre): Pump Details Main Pump (Nos): Type: Capacity (LPM): Jockey Pump (Nos): Type: Capacity (LPM): DG Pump (Nos): Type: Capacity (LPM): Log in Hydrant Accessories Fire Hydrants (Nos): Hose Box (Nos): Hose Reels (Nos): Fire Alarm System Fire Alarm Panels (Nos): Detectors (Nos): MCP (Nos): Hooter (Nos): Fire Extinguisher ABC Type (Nos): CO2 Type (Nos): Mechanical Foam Type (Nos): Water Type (Nos): Sprinklers Sprinklers (Nos): Documentation and Training Are there trained fire wardens or emergency response teams in the facility? If yes, how often is training conducted? Are fire safety drills conducted regularly? If yes, when was the last drill conducted? Are all fire safety inspections and maintenance activities properly documented? Please provide the latest records if available. Hazard Identification Are there any areas within the facility that are considered high-risk for fire hazards (e.g., storage of flammable materials, hazardous processes)? Have there been any fire incidents in the facility in the past? If yes, please provide details. Are there any specific concerns or areas you would like the audit to focus on? Approval Submitted by: Approved by: Photo Upload Upload Photo 1: Upload Photo 2: Upload Photo 3: