Commercial Site Survey

BUILDING INFORMATION

• Property Name:

• Contact Name & Phone:

• Site Address:
  Address

• Approx. square footage:

TECHNICIAN INFORMATION

• Technician Name:

• Document No.

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SPRINKLER SYSTEM INFO

• Does the building have a fire sprinkler system?

  Yes

  No

• Number of risers:

  1

  2

  3

  +

• Riser quantity, if more than three:

• Does the riser have an inspection tag?

  Yes

  No

• Date of last inspection?

  Date

• Inspection company:

FIRE ALARM SYSTEM INFO

• Does building have fire alarm system?

  Yes

  No

  Sprinkler Only
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• Type of system:

  Addressable

  Conventional

• Panel Type & Model #:

• Installation company:

• Does the FACP have an inspection tag?

  Yes

  No

• Inspection company:

• Date of last inspection:

  Date

• Method of monitoring:

  Radio

  Phone

  Other

• Other monitoring method:

• Who monitors the system?

  Safeguard

  Other

• Other monitoring company:

• Dialer #:

ADDITION DETAILS

• Other services to pursue at this property?

  Select Fire Extinguisher Exit / Emergency Lights Back Flow Hood Hydrant Monitoring

  • Fire Extinguisher
  • Exit / Emergency Lights
  • Back Flow
  • Hood
  • Hydrant
  • Monitoring

• Notes:

• Any photos that may be helpful...

  Media

• E-mail completed form to MSGRIFFIS@SAFEGUARD.US