Shipboard Fire Safety Assessment Form

Date of Assessment Ship Name IMO Number Name of Assessor(s) Position/Title

System/Item	Status	Remarks
Fire Detection & Alarm System	Functional Needs Attention Not Functional
Fire Extinguishing System	Functional Needs Attention Not Functional
Fire Doors & Dampers	Functional Needs Attention Not Functional
Escape Routes	Clear Obstructed
Emergency Lighting	Functional Needs Attention Not Functional

Date of Last Fire Drill Crew Knowledge of Procedures Adequate Needs Improvement Remarks Observations Recommendations Signature Date