AMFEMS Faculty Inspection Form

• Document No.

• Anchorage Middletown Fire & EMS

• Building Location:

• Inspector:

• SECTION I - GROUNDS

• Are parking areas, walkways, stairs, driveways, etc. free from conditions that may cause slipping or falling?

  Yes

  No

  N/A

• Is exterior lighting adequate in all areas?

  Yes

  No

  N/A

• Are all exterior stairs provided with handrails which are in good condition?

  Yes

  No

  N/A

• Are exterior fire escapes in good condition?

  Yes

  No

  N/A

• Is exterior storage of trash and rubbish at least 25 feet away from the building?

  Yes

  No

  N/A

• Dryer vents clean?

  Yes

  No

  N/A

• Exterior Utilities clear and secured?

  Yes

  No

  N/A

• SECTION II - INTERIOR DOORS & STAIRWAYS

• Are all exit doors properly marked?

  Yes

  No

  N/A

• Are all exit doors easily accessible?

  Yes

  No

  N/A

• Do all exit doors open outward?

  Yes

  No

  N/A

• Are all exit doors equipped with panic hardware?

  Yes

  No

  N/A

• Are all doors easily opened, and closed?

  Yes

  No

  N/A

• Are all doorways and areas adjacent to them free of obstructions?

  Yes

  No

  N/A

• Are full length, clear glass doors and windows properly identified?

  Yes

  No

  N/A

• Do all interior stairs have anti-slip treads?

  Yes

  No

  N/A

• Are stairway and exit doors kept closed at all times?

  Yes

  No

  N/A

• Do all interior stairways have properly secured handrails?

  Yes

  No

  N/A

• Are interior stairways kept free of storage and obstructions at all times?

  Yes

  No

  N/A

• Are interior stairways kept lighted?

  Yes

  No

  N/A

• Is the emergency lighting system tested on a monthly basis?

  Yes

  No

  N/A

• Is the emergency power generator tested on a weekly basis?

  Yes

  No

  N/A

• SECTION III - HEATING & AIR CONDITIONING EQUIPMENT

• Has heating equipment been thoroughly inspected by a qualified service man within the past year?

  Yes

  No

  N/A

• Is heating equipment (including flues and pipes) properly insulated from combustible materials?

  Yes

  No

  N/A

• Are heating and air conditioning equipment rooms free of storage?

  Yes

  No

  N/A

• Are heating and air conditioning rooms restricted areas?

  Yes

  No

  N/A

• Is air conditioning equipment cleaned and serviced annually?

  Yes

  No

  N/A

• SECTION IV - ELECTRICAL EQUIPMENT & CONTROL PANELS

• Has the electrical system been inspected within the past five years by a certified electrician or electrical inspector?

  Yes

  No

  N/A

• Are electrical panels always kept closed?

  Yes

  No

  N/A

• Are electrical panels always kept clear of storage and obstructions?

  Yes

  No

  N/A

• Is circuitry adequate to handle load demand? (not requiring frequent fuse replacement, or circuit breaker resetting)

  Yes

  No

  N/A

• Was electrical system installed by a competent electrician?

  Yes

  No

  N/A

• Are all electrical appliances properly grounded and cleaned?

  Yes

  No

  N/A

• Are electric motors adequately ventilated to prevent overheating and are they cleaned regularly?

  Yes

  No

  N/A

• Are proper size electrical cords used and are they in good condition?

  Yes

  No

  N/A

• Extension cords being used as permanent wiring?

  Yes

  No

  N/A

• Is all commercial cooking equipment protected as recommend by NFPA #96?

  Yes

  No

  N/A

• Is hood and duct exhaust system installed accordingly to NFPA #96 guidelines?

  Yes

  No

  N/A

• Are grease filters U.L. listed for grease extraction and installed according to NFPA #96?

  Yes

  No

  N/A

• Are the hood and duct system cleaned at least on a semi-annual basis?

  Yes

  No

  N/A

• Are the kitchen appliances protected by an automatic fire extinguishing system?

  Yes

  No

  N/A

• Is the fire extinguishing system serviced and inspected at least on a semi-annual basis?

  Yes

  No

  N/A

• SECTION VI - HOUSEKEEPING

• Are storage and supply rooms kept clean and orderly?

  Yes

  No

  N/A

• Are trash and rubbish stored in metal containers?

  Yes

  No

  N/A

• Are all flammable items (paint, lacquer, paint thinner, etc.) kept in safety containers and stored in approved metal cabinets?

  Yes

  No

  N/A

• Is ready disposal of combustible wastes provided?

  Yes

  No

  N/A

• Are areas used for public meetings or other functions always thoroughly checked before securing?

  Yes

  No

  N/A

• Are rags, cloths, etc. used in cleaning stored in an approved, self-closing metal container?

  Yes

  No

  N/A

• SECTION VII - FIRE PROTECTION

• Are all the fire extinguishers tagged, serviced and inspected annually?

  Yes

  No

  N/A

• Are all fire extinguishers tagged with latest service record and inspection date?

  Yes

  No

  N/A

• Are fire extinguishers located within 75 feet from any point on each floor?

  Yes

  No

  N/A

• Are extinguishers properly protected from damage and freezing?

  Yes

  No

  N/A

• Is building protected with smoke/heat detection system?

  Yes

  No

  N/A

• Is the heat/smoke detection system tested and inspected on a annual basis?

  Yes

  No

  N/A

• Any additional comments?

• Photo documentation

  Media

SECTION VIII - SYSTEMS

• Jib Crane and Hoist Inspection current?

  Yes

  No

  N/A

• Hoist slings show extensive wear or damaged?

  Yes

  No

  N/A

• Vehicle lift Inspection current?

  Yes

  No

  N/A

• Eye wash station operating and in good condition?

  Yes

  No

  N/A

• First Aid kit clean and stocked?

  Yes

  No

  N/A

• Building AED in working condition, pads in date?

  Yes

  No

  N/A