Fire System Impairment Permit
Editable Word fire system impairment permit for Queensland buildings: system affected, fire watch, alternative protection, notifications, isolation controls, restoration test and close-out.
RG
Written by Ryan Graham, health and safety professional (16 years on Queensland sites)
$14.99 incl. GST
AUD · one-off purchase · instant download
- Instant download · your links arrive by email straight after checkout and work for 3 months, so save your copy
- Make it yours in minutes · edit in Microsoft Word and add your logo
- Quality guarantee · we'll fix any problem, then refund you or give store credit if you're still not happy
- Secure checkout · card, Apple Pay or Google Pay through Stripe
About this template
A fire system impairment permit for the planned shutdown of a fire detection and alarm panel, sprinklers, hydrants, fire pumps or any other fire protection system in a Queensland building. It records which system is out, the reason, the maximum time, the risk assessment and the alternative protection that keeps the building as safe as the system it replaces, including a fire watch, a hot work stop and notifications to occupants, wardens and the monitoring provider. The permit finishes with a restoration test and a close-out sign-off.
What Is Included In Our Fire System Impairment Permit?
- Permit number, building, occupier and authorised issuer
- The system affected, with the exact zones, floors or valves
- Reason, work description and the qualified person doing the work
- Start time, planned end and a maximum impairment time with an extension sign-off
- A risk assessment of what is lost and who is at risk
- Alternative protection: fire watch, call points, extinguishers, hot work stop and access for fire vehicles
- Notifications, including the monitoring provider and the Queensland Fire Department approval for a long isolation
- Isolation controls with tag numbers
- A fire watch log and a restoration checklist
- Close-out sign-off linked to the maintenance record
Legislation and Codes of Practice Referenced
- Fire Services Act 1990 (Qld): ss 146L and 146M
- Building Fire Safety Regulation 2008 (Qld): ss 53, 54 and 55
- Work Health and Safety Regulation 2011 (Qld): s 43
What You Get
- An editable Microsoft Word form (5 pages), A4 portrait, to fill in on screen or print
- Tick boxes and date pickers that work in Word
- Business details typed once and filled in on every page, plus a space for your logo
- Sign-off and document control
Review it and adjust it to suit your business, your sites and the way your team works, and talk it through with your workers. If you have any trouble downloading this template, you can contact us at any time. Please make sure you read our Disclaimer before downloading.
Having trouble with your download? Contact us any time. Please read our Disclaimer before downloading.
How to use it
From download to site in three steps
Buy and download
Check out with card, Apple Pay or Google Pay. Your download buttons appear straight away and the links are emailed to you. Links work for 3 months, so save your copies.
Make it yours
Open it in Microsoft Word or Excel. Add your logo, business details, site and job information, and adjust it to how the work is done.
Brief your crew
Talk it through with the workers doing the job, have them sign on, and keep it on site. Review it whenever the job or conditions change.
What format is it?
Microsoft Word. Edit it in Word, or free in Word for the web, and add your own logo and business details.
How do I get it after I pay?
Your download buttons appear as soon as checkout finishes, and the links are emailed to you. You can re-download from your account at any time.
Is it compliant with Queensland law?
It's written around Queensland's Work Health and Safety Act 2011 and Regulation 2011. Tailor it to your site, consult your workers and review it whenever conditions change; no template can guarantee compliance on its own.
What if it isn't right for my job?
If it doesn't match its description or has a fault, tell us and we'll fix it. If you're still not happy, we'll refund you or give you store credit, your choice. Check the sample pages first, as we don't refund a change of mind.
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