Information
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Conducted on
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Occupancy Name:
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Location
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Inspector :
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Occupancy Phone Numbers
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Date/Time of Inspection:
Fire Alarm System
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Test Records of fire alarm system are on-site.
- pass
- fail
- NA
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Fire Alarm is operating at all times.
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Sprinkler System
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Water connections are in working condition.
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Head clearance is maintained.
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Alarm valves are in working condition.
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Sprinkler system test and maintenance records are on-site.
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Dry chemical extinguishing system test and maintenance records are on-site.
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Exhaust hood system maintained.
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Fire Extinguishers
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Test records of fire extinguishers are on-site.
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Identification of fire extinguishers is posted.
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Fire extinguishers are properly installed.
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Fire extinguishers are easily accessible.
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Fire extinguishers on-site are of proper size (2A:20BC 5 lbs).
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Exits
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Fire escapes are properly maintained.
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Exits are free from obstructions.
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Exit signs are illuminated.
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Corridors and exits are properly lit.
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Doors are operable without special knowledge.
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Emergency lights are working.
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Egress doors have exit signs.
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Electric
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Non-fused, multi-plug adapter(s) are not present.
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Extension cords are not being used in place of permanent wiring.
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Extension cords are shielded from damage.
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Alterations have not been made to electrical panel.
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Covers are placed over junction box(s).
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Electrical splices are in junction box(s).
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Fire Barriers
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Fire walls have no holes.
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There is no opening in ceiling.
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Fire doors are in working condition.
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Fire doors have been tested.
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Storage
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Storage is kept 24” from hot water heater and furnace.
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No combustible decorative materials are on-site.
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Housekeeping is properly maintained.
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Flammable liquids are properly stored.
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Storage is kept 30” from electric panel
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Building
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Correct keys are in Knox Box.
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Building has address numbers.
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Building has Knox Box.
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Other Comments
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Name of property Manager/Owner/Site Contact:
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Signature of property Manager/Owner/Site Contact:
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Name of Inspector:
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Signature of inspector:
