FIRE SAFETY ASSESSMENT

Identify, Prevent and Report Potential Workplace Emergency Situations

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ALL QUESTIONS WITH AN ASTERISK MUST BE ANSWERED BEFORE THE FORM CAN BE SUBMITTED

Course Name: FIRE SAFETY
(Identify, Prevent and Report Potential Workplace Emergency Situations)
Code: CFS/FS/EL
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I authorise the release of my training results to my employer.*
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FIRE SAFETY ASSESSMENT
Q1. List 3 methods of fire prevention.*
Method 1* Method 2* Method 3*
Q2. If an extinguisher has the following pictographs on it what type of fire can it be used on?*
Pictograph 1.
Pictograph 2
Pictograph 3
Q3. What type of fires can the following 5 pieces of equipment be used on? Requires 5 answers.*
Dry Chemical Powder Extinguisher* Carbon Dioxide Extinguisher* Wet Chemical Extinguisher* Water Extinguisher/Hose Reel* Fire Blanket*
Q4. What are the colours of the following 5 pieces of equipment? Requires 5 answers.*
Dry Chemical Powder Extinguisher* Carbon Dioxide Extinguisher* Wet Chemical Extinguisher* Water Extinguisher/Hose Reel* Fire Blanket*
Q5. There are 3 faults with this extinguisher, What are they?*

Fault 1 Fault 2 Fault 3
Q6. What do these 3 faults indicate?*
Q7. Fire Extinguisher Safety. What do the letters P-A-S-S mean?*
P A S S.
Q8. What are the 3 elements a fire must have? (Fire Triangle)*
Element 1 Element 2 Element 3
Q9. You need to be SAFE in the event of fire, What does S-A-F-E mean?*
S A F E

FIRE SAFETY ASSESSMENT

PARTICIPANT REGISTRATION DETAILS

Please ensure the section below is completed.

FIRE SAFETY ASSESSMENT

Compliance & Training

Stephen Shaw

Equipment Sales & Service

Scott Shaw

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