DSCO Pre-Fire Inspection Monthly

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

A. Exits

• A-1. Exit Doors / Aisles are not obstructed

  Select yes no na

  • yes
  • no
  • na

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• A-2. Illuminated exit signs maintained in working order

  Select yes no na

  • yes
  • no
  • na

• Add photo

  Media

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• A-3. Emergency lighting maintained in proper working order

  Select yes no na

  • yes
  • no
  • na

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  Media

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• A-4. Proper lock/hardware on exit door. ( No flush bolts, hasps, etc.)

  Select yes no na

  • yes
  • no
  • na

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  Media

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• A-5. Clear discharge area around building exits maintained

  Select yes no na

  • yes
  • no
  • na

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  Media

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• A-6. Evacuation plans known by all employees

  Select yes no na

  • yes
  • no
  • na

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• A-7. Exit door opens easily

  Select yes no na

  • yes
  • no
  • na

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• A-8. Doors with panic hardware shall have no other locks

  Select yes no na

  • yes
  • no
  • na

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  Media

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B. Extinguishers/Fire protection equipment

• B-1. Extinguisher(s) installed as required a minimum of 75 feet in shops

  Select yes no na

  • yes
  • no
  • na

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• B-2. Extinguisher has been serviced within the past year

  Select yes no na

  • yes
  • no
  • na

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• B-3. Extinguisher service tag is attached and legible

  Select yes no na

  • yes
  • no
  • na

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• B-4. Fire extinguishers not obstructed and mounted

  Select yes no na

  • yes
  • no
  • na

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• B-5. Fire extinguisher top does not exceed 5' from floor

  Select yes no na

  • yes
  • no
  • na

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  Yes

  No

  N/A

• B-6. Storage of combustibles is less than 18 inches below ceilings

  Select yes no na

  • yes
  • no
  • na

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C. Electrical

• C-1. No extension cords in use in place of permanent wiring

  Select yes no na

  • yes
  • no
  • na

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  Media

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• C-2. Electrical panel is not overloaded/obstructed/access blocked

  Select yes no na

  • yes
  • no
  • na

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  Media

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• C-3. No multi-plug adapters in use, other than approved power strips

  Select yes no na

  • yes
  • no
  • na

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• C-4. There are no spliced or frayed cords/wires

  Select yes no na

  • yes
  • no
  • na

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• C-5. Spacer(s) in electrical panel gap(s) provided

  Select yes no na

  • yes
  • no
  • na

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• C-6. Circuit breakers are identified by name or number

  Select yes no na

  • yes
  • no
  • na

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• C-7. Circuits in circuit breakers are labeled

  Select yes no na

  • yes
  • no
  • na

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• C-8. No broken or faulty switch/outlets

  Select yes no na

  • yes
  • no
  • na

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  Media

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• C-9. Extension cords do not extend through walls, ceilings, floors, under doors, or floor coverings

  Select yes no na

  • yes
  • no
  • na

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  Media

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• C-10. No exposed wiring ( visible copper or aluminum through insulation )

  Select yes no na

  • yes
  • no
  • na

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  Media

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• C-11. No missing/broken electrical cover plate(s)

  Select yes no na

  • yes
  • no
  • na

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  Media

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• C-12. Approved power strips plugged directly into a wall outlet ( ground plug has not been removed )

  Select yes no na

  • yes
  • no
  • na

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  Media

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D. Appliances/Mechanical devices

• D-1. All machines, electrical equipment and appliances are properly grounded

  Select yes no na

  • yes
  • no
  • na

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• D-2. Paint pumps and supply drums/buckets are properly bonded and grounded

  Select yes no na

  • yes
  • no
  • na

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  Media

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E. Storage/Combustible Material/Housekeeping

• E-1. Street address posted with minimum 6" numbers with contrasting background, visible from street.

  Select yes no na

  • yes
  • no
  • na

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  Media

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• E-2. NFPA Diamonds at entrances are current and visible

  Select yes no na

  • yes
  • no
  • na

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  Media

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• E-3. No combustible material stored near ignition source ( electrical closets )

  Select yes no na

  • yes
  • no
  • na

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  Media

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• E-4. No accumulation of waste combustible materials ( overspray is < 1/4" on work benches )

  Select yes no na

  • yes
  • no
  • na

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  Media

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• E-5. Storage of oily rags in non- combustible container w/lid

  Select yes no na

  • yes
  • no
  • na

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  Media

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• E-6. All compressed gas cylinders secured, includes "empties"

  Select yes no na

  • yes
  • no
  • na

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  Media

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• E-7. Gas cylinders vales from the tank are closed when not in use

  Select yes no na

  • yes
  • no
  • na

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  Media

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• E-8. Flammable liquid properly and securely stored ( including spill pallets )

  Select yes no na

  • yes
  • no
  • na

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• E-9. Area around buildings free of combustible material ( weeds, trash, boxes, etc. )

  Select yes no na

  • yes
  • no
  • na

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  Media

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• Summary of fire code violations

• Enter signature upon completion

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