Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
ROOM
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Room
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Enter Room Number:
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Room Name:
- Bath
- Conferance
- Closet
- Corridor
- Entry
- Elevator Equipment
- Family
- Day Care
- Janitor
- Kitchenet
- Lobby
- Mechanical Room
- Office
- Passage
- Stairs
- Storage
- Suite
- Toilet
- Utility
- Vestibule
- Upper Level
- Other
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What is the condition of the fixtures?
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Is the exhaust fan functioning properly?
Equiment
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Add media
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What type of equipment is in the room?
- Computer
- Security System
- Fax
- Printer
- Popcorn Popper
- Other
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What is the condition of the Equipment?
Equipment
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Add media
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What type of equipment is in the room?
- Computer
- Security System
- Fax
- Printer
- Popcorn Popper
- Other
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What is the condition of the Equipment?
Appliances
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Add media
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What type of Appliances are in the room?
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What is the condition of the Appliance?
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Is the area well lit including battery back up lighting?
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Is the path of egress clear of clutter?
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The proper inspections posted?
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Does the elevator appear to be maintained?
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What is the condition of the furniture?
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Does the room appear secure?
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Does this area appear to be secure?
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Does there appear to be any safety issues?
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Does this area appear to be secure?
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What is the condition of the Walls?
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What is the condition of the Ceilings?
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What is the condition of the Floors?
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What is the condition of the Doors?
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How does the general electric apprear?
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Are there windows in this room?
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Does the room appear to meet code?
Life Safety
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Life Safety Equipment
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Type of Life Safety Equipment:
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31-1.3.7 Periodic Testing of Emergency Lighting Equipment. A functional test shall be conducted on every required emergency Lighting system at 30-day intervals for a minimum of 30 seconds. An annual test shall be conducted for the 1 1/2 hour duration of the test. Written records of visual inspections and tests shall be kept by the owner for inspection by the authority having jurisdiction.
Exception: Self-testing/self-diagnostic, battery-operated emergency Lighting equipment that automatically performs a minimum 30-second test and diagnostic routine at least once every 30 days and indicates failures by a status indicator shall be exempt from the 30-day functional test, provided a visual inspection is performed at 30-day intervals. -
Is there written record of 30 day and annual testing?
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Does the egress lighting appear in good working order at the time of this assessment?
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Does there appear to be antiquate egress lighting?
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The monthly inspections are visual only and can be performed by the businesses personel. The month and year of these inspections, along with the initials of the person performing them, are recorded on the extinguisher's hang tag.
Annual inspections are more thorough and must be done and certified by a professional, since annual maintenance must include an examination of the mechanical parts, the fire-suppression agent and the delivery system. The certification of these inspections must be recorded on the fire extinguisher tag, including the inspection date and the inspector's initials.
Six-year maintenance inspections are much like the annual inspections. The main difference is that during the six-year inspections, stored-pressure fire extinguishers are emptied of contents. A licensed professional must examine the mechanics, outlet hose and delivery system, after which the extinguisher is refilled, re-pressurized and marked with a tamper-resistant seal. These six-year inspections must be recorded on the regular hang tag and on a separate metallic label attached to the body of the extinguisher. Notations must include the month and date of the inspection, as well as the inspector's name and company affiliation. -
Is there written record of monthly, annual, and 6 year ispections?
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Fire extinguishers must be within 75 foot of unobstructed walking distance. 150 feet apart.
The extinguisher must be unobstructed for ease of access.
It is recommended that fire extinguishers are mounted in an area of egress. This allows for them to be properly utilized but allowing the user to have a safe exit from the emergency. -
Do the fire extinguishers appear to be in the proper locations?
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Are the fire extinguishers free of obstructions?
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Do the fire extinguishers appear to be in good operating condition?
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Does it appear that the fire alarm system is being tested semi-annually and annually as required based on written documentation?
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What is the overall condition of the fire alarm system?<br>Fire Alarm company should be contacted for the end of life expectancy.
HVAC
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Heating and Air Conditioning
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Enter equipment Identifier:
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How does the overall appearance of the HVAC system look?
Electrical Panels
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Electrical Panels
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Enter panel Identifier:
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Does the electrical panel appear to be installed and maintained properly?
Piped Systems
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Piped Systems
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Type of system:
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What kind of condition does the system appear to be in?
Exterior Building Components
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Building Component
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How does the overall condition appear?
