Bruce - Romeo Fire Department Fire Prevention Division

Fire Inspection Report

• Facility Name

• Address
  Address

• Phone

• Conducted on

  Date

Inspection

• Property Owner

• Use Group

• Capacity

• Construction Type

• Basement

  Yes

  No

• Stories

• Square feet

• Hazardous Materials

  Yes

  No

• Sprinkler Protected (with FDC)

  Yes

  No

  Partial

• Domestic Water

  Yes

  No

• Inspection Type

  General

  Special

  Comp.

  Accept.

  Reinspec.

• Responsible Party Signature

  Sign

• Responsible Party Title

• Inspector's Signature

  Sign

BUILDING EXTERIOR-OUTSIDE STORAGE

• Access drives/fire lanes clear/posted

  Comp.

  Non Comp.

  N/A

• Addresses posted

  Comp.

  Non Comp.

  N/A

• Protection of gas equipment

  Comp.

  Non Comp.

  N/A

• Fire hydrants clear

  Comp.

  Non Comp.

  N/A

• Outside storage orderly

  Comp.

  Non Comp.

  N/A

• Exit discharge clear

  Comp.

  Non Comp.

  N/A

• Fire department connection valves clear and secure

  Comp.

  Non Comp.

  N/A

• Canopy height posted

  Comp.

  Non Comp.

  N/A

INTERIOR-EXITS, PASSAGEWAYS, LIFE SAFETY

• Doors-locked, blocked, inoperative, swing wrong direction

  Comp.

  Non Comp.

  N/A

• Corridors-passageways, obstructed, improperly maintained

  Comp.

  Non Comp.

  N/A

• Aisles, cross aisles to be maintained, full width at all times

  Comp.

  Non Comp.

  N/A

• Stairs, towers, obstructed, defective, improperly maintained

  Comp.

  Non Comp.

  N/A

• Door devices- panic hardware, fusible links, defective, inadequate

  Comp.

  Non Comp.

  N/A

• Exit passageways- Inadequately lighted

  Comp.

  Non Comp.

  N/A

• Exit lights

  Comp.

  Non Comp.

  N/A

• Prohibited hardware - slide bolts, key locks, etc...

  Comp.

  Non Comp.

  N/A

• Emergency lighting

  Comp.

  Non Comp.

  N/A

GENERAL HAZARDS

• Hazardous accumulation rubbish, debris, waste materials to be removed

  Comp.

  Non Comp.

  N/A

• Stock - merchandise improperly stored to retard spread of fire

  Comp.

  Non Comp.

  N/A

• Interior finishes - decorations - tents, remove or flameproof

  Comp.

  Non Comp.

  N/A

• Ventilating systems to be cleaned, repaired, installed

  Comp.

  Non Comp.

  N/A

• Combustible lint and dust to be removed from equipment, walls, beams, floor, disposed of in proper manner.

  Comp.

  Non Comp.

  N/A

• Storage/stock to high 24"

  Comp.

  Non Comp.

  N/A

• Heat producing device clearance 36"

  Comp.

  Non Comp.

  N/A

• Improper - prohibited device

  Comp.

  Non Comp.

  N/A

ELECTRICAL

• Wiring - switches - plugs defective, to be replaced

  Comp.

  Non Comp.

  N/A

• Extension cords/multi outlet devices

  Comp.

  Non Comp.

  N/A

• Proper clearances maintained 36"

  Comp.

  Non Comp.

  N/A

• Breaker locks/identification

  Comp.

  Non Comp.

  N/A

FIREWALLS, DOORS, CURTAIN, WALLS, PARTITIONS AND CEILINGS

• Fire wall penetrations

  Comp.

  Non Comp.

  N/A

• Ceiling tiles missing

  Comp.

  Non Comp.

  N/A

• Fire doors

  Comp.

  Non Comp.

  N/A

• Signage where needed

  Comp.

  Non Comp.

  N/A

• Fuse links damaged/painted/missing

  Comp.

  Non Comp.

  N/A

• Coordinators/astragals

  Comp.

  Non Comp.

  N/A

• Fire dampers

  Comp.

  Non Comp.

  N/A

• Corridor integrity

  Comp.

  Non Comp.

  N/A

SPECIAL PROCESS / HAZARDS / EQUIPMENT / OTHER

• Cutting and welding equipment

  Comp.

  Non Comp.

  N/A

• Cylinder storage

  Comp.

  Non Comp.

  N/A

• Ventilation

  Comp.

  Non Comp.

  N/A

• Manifold systems

  Comp.

  Non Comp.

  N/A

• No - Smoking posted

  Comp.

  Non Comp.

  N/A

DIPTANKS

• Controls - operational

  Comp.

  Non Comp.

  N/A

• Overflow / drain

  Comp.

  Non Comp.

  N/A

• Protection

  Comp.

  Non Comp.

  N/A

• Location/separation

  Comp.

  Non Comp.

  N/A

SPRAY PAINTING

• Booth / Area / Room location

  Comp.

  Non Comp.

  N/A

• Protection

  Comp.

  Non Comp.

  N/A

• Explosion proof wiring

  Comp.

  Non Comp.

  N/A

• Adjacent storage

  Comp.

  Non Comp.

  N/A

• Ducts / fans / discharges

  Comp.

  Non Comp.

  N/A

• Maintenance / cleaning

  Comp.

  Non Comp.

  N/A

• Ignition devices

  Comp.

  Non Comp.

  N/A

• Posted / Signs

  Comp.

  Non Comp.

  N/A

FLAMMABLE LIQUIDS - GASES - SOLIDS - EXPLOSIVES

• Not properly stored - handled - processed

  Comp.

  Non Comp.

  N/A

• Storage rooms - premises not properly marked / maintained

  Comp.

  Non Comp.

  N/A

• Tank location not in accord with applicable standards

  Comp.

  Non Comp.

  N/A

• Existing above ground tanks storage be properly maintained, diked, marked, and located

  Comp.

  Non Comp.

  N/A

• Valves - dispensing equipment to be approved type - maintained in good order

  Comp.

  Non Comp.

  N/A

• Cabinet required

  Comp.

  Non Comp.

  N/A

• Safety cans

  Comp.

  Non Comp.

  N/A

• Bonding and grounding

  Comp.

  Non Comp.

  N/A

• Proper posting / No Smoking

  Comp.

  Non Comp.

  N/A

• Explosion wiring where needed

  Comp.

  Non Comp.

  N/A

• Storage room suppression

  Comp.

  Non Comp.

  N/A

• Hazardous Materials M.S.D.S.

  Comp.

  Non Comp.

  N/A

• Secondary equipment

  Comp.

  Non Comp.

  N/A

SERVICE STATIONS

• Underground tank fill pipes

  Comp.

  Non Comp.

  N/A

• Underground tank spill protection

  Comp.

  Non Comp.

  N/A

• Dispensers / posting

  Comp.

  Non Comp.

  N/A

• Hoses - piping - nozzles

  Comp.

  Non Comp.

  N/A

• Impact valves

  Comp.

  Non Comp.

  N/A

• Intercommunications

  Comp.

  Non Comp.

  N/A

• Fire suppression

  Comp.

  Non Comp.

  N/A

• Emergency controls

  Comp.

  Non Comp.

  N/A

• Breakers identified

  Comp.

  Non Comp.

  N/A

• Station maintenance / regulations / miscellaneous

  Comp.

  Non Comp.

  N/A

• Service Company

• Service Date

SPRINKLER SYSTEMS / ALARMS

• Suppression / standpipe maintenance

  Comp.

  Non Comp.

  N/A

• Sprinkler system design / density inadequate for hazard

  Comp.

  Non Comp.

  N/A

• Suppression system obstruction

  Comp.

  Non Comp.

  N/A

• Valve identification

  Comp.

  Non Comp.

  N/A

• Valve security / monitoring

  Comp.

  Non Comp.

  N/A

• Alarm system maintenance / repair

  Comp.

  Non Comp.

  N/A

• Suppression system monitoring / repair

  Comp.

  Non Comp.

  N/A

• Smoke and heat detection

  Comp.

  Non Comp.

  N/A

• Storage too high 18"

  Comp.

  Non Comp.

  N/A

• Fire extinguishers location / mounting

  Comp.

  Non Comp.

  N/A

• Fire extinguisher I.D.

  Comp.

  Non Comp.

  N/A

• Fire extinguisher adequate

  Comp.

  Non Comp.

  N/A

• Service Company

• Service Date

HOOD / DUCT SYSTEMS

• Dry chemical

  Comp.

  Non Comp.

  N/A

• CO2

  Comp.

  Non Comp.

  N/A

• Halon

  Comp.

  Non Comp.

  N/A

• Wet system

  Comp.

  Non Comp.

  N/A

• Signage

  Comp.

  Non Comp.

  N/A

• Alarm

  Comp.

  Non Comp.

  N/A

• Service Company

• Service Date

• Premises and equipment in good working order - no visible hazards observed this date.

  Yes

  No

• REINSPECTION DATE

• Miscellaneous violations list below....

  Yes

THE FOLLOWING ORDERS ARE ISSUED FOR THE CORRECTION OF VIOLATION ITEMS CHECKED ABOVE. THESE VIOLATION ITEMS SHALL BE COMPLIED WITH FORTHWITH. A REINSPECTION WILL BE CONDUCTED ON OR ABOUT THE DATE SHOWN ABOVE. WARNING: FIRE AND INJURY RESULTING FROM FAILURE OR DELAY TO COMPLY WITH THIS NOTICE WILL BE ATTRIBUTED TO NEGLIGENCE ON THE PART OF THE RESPNSIBLE PARTY OR PARTIES.

Disposition of inspection: (Applies to Fire Department Codes, Ordinances, Rules and Regulations only - Approvals of applicable city departments must be obtained prior to occupancy or stocking of merchandise.) An application for Appeal must be submitted to the Fire Chief within 20 days of the date of this report.

• Final approval granted

  Yes

  No

  N/A

• Provisional / Temporary approval granted

  Yes

  No

  N/A

• Provisional approval to stock merchandise only

  Yes

  No

  N/A

• Approval not granted

  Yes

  No

  N/A

• Complaint investigation

  Yes

  No

  N/A