Inspection Information

  • Project Name:

  • Project Location:

  • Permit #:

  • Date of Inspection:

Visual Inspection

Appliances

  • Appliances located within the perimeter of the hood, minimum of 6 inches:

  • Appliances on casters:

  • Caster channels installed or an alternative means to ensure appliances are returned to design position:

  • Chain / cable that is shorter than the gas lines secured to the wall and to the appliances:

  • Quick connect fittings are correctly installed with the flow of gas (check arrows):

  • Deep fat fryers are a minimum of 16 inches away from an open flame -or- an 8 inch steel or tempered glass baffle is installed:

  • Appliances are of the same size and type as shown on approved plans:

  • Hood and exhaust ducts are the same size as shown on approved plans:

Nozzles

  • Nozzle type is the same as shown in approved plans:

  • Nozzles are the correct distance above the cooking surface (see drawings / spec sheets):

  • Nozzles are correctly aimed using the laser (see spec sheets for proper aiming point):

Fusible Links

  • Fusible links positioned as shown on approved plans:

  • Fusible links proper temperature as indicated on approved plans:

Manual Pull Station

  • Pull station located 10 - 20 feet from the protected hood and in the path of egress:

Type K Fire Extinguisher

  • Type K fire extinguisher located 10 - 30 feet from the protected hood:

  • Sign posted over extinguisher stating to use hood system before extinguisher:

Visual Inspection Status

  • Visual Inspection Status:

  • Date of Completion:

Operational Test

Manual Activation (Pull Station)

  • System tripped:

  • Make-up air shut off:

  • Exhaust fan stayed on:

  • Gas feed shut off and had to be manually reset:

  • Electrical tripped to all appliances under hood:

  • Alarm activated / monitoring if applicable:

Automatic Activation (Fusible Link)

  • System tripped:

  • Make-up air shut off:

  • Exhaust fan stayed on:

  • Gas feed shut off and had to be manually reset:

  • Electrical tripped to all appliances under hood:

  • Alarm activated / monitoring if applicable:

Operational Test Status

  • Operational Test Status:

  • Date of Completion:

Inspection Status

Additional Comments

  • Comments:

Inspection Summary

  • Visual Inspection:

  • Operational Test:

Inspection Status

  • On-site Inspector:

  • Inspection Status:

  • Next Inspection:

  • Date Completed:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.