Title Page
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Business Name
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Location
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Date of Inspection
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Inspector
Plans / Drawings
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Verify approved plans / drawings are on-site or are available to the contractor.
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Verify that the procedures for unlocking the doors are described in the emergency preparedness plan as required by Chapter 4.
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Verify a permit application has been submitted for an automatic fire sprinkler system and/or a fire alarm system.
Visual Inspection
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Occupants will pass through no more than one door equipped with a controlled egress / delayed egress locking system before entering an exit.
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The door locking system is listed in accordance with UL 294.
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Door swings in the direction of egress.
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Emergency lighting is provided at the egress door.
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“Push to Exit” button is installed, readily visible / accessible, and labeled.
Operational Test
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Door releases upon fire sprinkler / fire alarm activation.
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Door releases upon loss of power to the lock or locking mechanism.
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Door releases upon pressing of “PUSH TO EXIT” button and remains unlocked for 30 seconds.
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Door releases upon activation of motion sensor.
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Door releases upon activating an override switch at the fire command center, nursing station, or other approved location.
Delayed Egress
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Signage that states “PUSH UNTIL ALARM SOUNDS - DOOR CAN BE OPENED IN 15 SECONDS” is located above and within 12 inches of the door hardware.
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An irreversible process after release device is pressed for 1 second and the door unlocks within 15 seconds.
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An audible signal activates in the vicinity of the door once the release device is pressed.
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The delayed egress system must be manually reset.
Inspection Status
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Inspection Status
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Next Inspection
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Owner / Representative
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Phone #
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Email Address
