Facility Fire Inspection Report

• Document No.

• Conducted on

  Date

• Navajo Nation Fire Department Facility Fire Inspection Report:

• Owner/Manager; Telephone; Mailing Address:

• Business Name:

• Address:
  Address

• Purpose of Inspection:

  Select Complaint Annual Re-Inspection Other

  • Complaint
  • Annual
  • Re-Inspection
  • Other

• Prepared by

• Additional Personnel:

Navajo Nation Facility Fire Inspection Report

• NO Fire Code Violations noted at this time.

• Fire Code Violations noted at this time?

• This Inspection Report is an official NOTICE OF CORRECTION and ordered to comply by:

  IMMEDIATELY

  30 DAYS

  OTHER

• Comply By:

Exits.

• A. Exit signs NOT properly posted and illuminated.

• Violation/Location:

• B. Emergency lighting not operational OR correctly lighting egress path.

• Violation/Location:

• C. Exits AND Egress paths not free from obstructions and/or are blocked or chained.

• Violation/Location:

• D. No Sign posted adjacent to door. "THIS DOOR TO REMAIN UNLOCKED DURING BUSINESS HOURS."

• Violation/Location:

• E. Panic hardware not operational AND/OR removed.

• Violation/Location:

• F. Number of Exits inadequate for occupancy.

• Violation/Location:

• G. Exit door(s) do(es) not swing in direction of egress.

• Violation/Location:

Fire Extinguisher(s)

• A. Number and Type of Extinguisher not adequate for occupancy.

• Violation/Location:

• B. Fire Extinguishers not mounted correctly and obscured/obstructed from view.

• Violation/Location:

• C. Fire Extinguisher(s) spaced to far apart.

• Violation/Location:

• D. Fire Extinguisher(s) need to be serviced.

• Violation/Location:

• E. Record history of maintenance and inspections not being performed.

• Violation/Location:

Electrical

• A. Using extension cords in place of permanent wiring.

• Violation/Location:

• B. Circuit Breakers NOT labeled AND/OR outside meter NOT secured.

• Violation/Location:

• C. Outlets without cover plates.

• Violation/Location:

• D. GFCI NOT installed.

• Violation/Location:

• E. Damaged or Spliced wiring.

• Violation/Location:

• F. Excessive use of power-taps and overloaded outlets.

• Violation/Location:

• G. Series(wattage/amperage) overloaded.

• Violation/Location:

• H. Power cords extending through walls, under doors or floor coverings, ceilings, OR are subject to environmental or physical damage.

• Violation/Location:

Housekeeping

• A. Vegetation and Combustible debris to close to occupancy, other structure AND/OR LP Gas Tank.

• Violation/Location:

• B. Excessive trash/rubbish accumulation inside occupancy AND inadequate removal.

• Violation/Location:

• C. Excessive dust accumulation on floors and other surfaces.

• Violation/Location:

• D. Hood system (stove, fryers, grills, etc.) filters, fusible links and ducting with heavy grease and dust accumulation.

• Violation/Location:

• E. Excessive use of decorative materials affixed AND/OR hanging on walls and ceilings.

• Violation/Location:

Storage

• A. Combustibles stored in Broiler, Furnace, Electrical and other Mechanical Rooms, AND/OR under Stairways.

• Violation/Location:

• B. Combustibles stored to close to heat producing appliances.

• Violation/Location:

• C. Combustibles stored to close to the ceiling.

• Violation/Location:

• D. Flammable Liquids NOT stored in approved cabinets AND/OR exceeds the maximum quantity permitted to be stored.

• Violation/Location:

• E. Compressed Gas cylinder unsecured, stored improperly AND exceeds quantity.

• Violation/Location:

• F. Materials Safety Data Sheets (MSDS) NOT readily available.

• Violation/Location:

Fire Protection System

• A. Fire Detection System (smoke, heat, flame detectors) NON-EXISTENT OR INADEQUATE for occupancy.

• Violation/Location:

• B. Alarm System NON-EXISTENT OR NON-OPERATIONAL for occupancy.

• Violation/Location:

• C. Smoke Detectors needed at:

• Violation/Location:

• D. Sprinkler Control Valves NOT OPENED, LABLED, AND/OR UNSECURED.

• Violation/Location:

• E. Additional Sprinkler Heads OR Wrench NOT AVAILABLE.

• Violation/Location:

• F. Sprinkler Heads being OBSTRUCTED by decorations, storage OR dust/grease accumulation.

• Violation/Location:

• G. Fire Detection, Suppression (sprinkler & hood system) and notification system in NEED OF SERVICE.

• Violation/Location:

• H. FDC and Standpipes NOT SECURED AND/OR OBSTRUCTED from debris.

• Violation/Location:

• I. Hydrants on premises COVERED, OBSTRUCTED from view, AND/OR INOPERABLE.

• Violation/Location:

Construction

• A. Walls, Ceiling AND/OR Floor NEEDS REPAIR.

• Violation/Location:

• B. Fire Doors NOT kept closed AND NOT in working order.

• Violation/Location:

• C. Penetration through rated walls and floor partitions.

• Violation/Location:

• D. Railings on stairwells NOT Installed OR in NEED OF REPAIR.

• Violation/Location:

• E. Other:

• Violation/Location:

Fire Department Access

• A. Fire Lanes NOT Identified AND/OR Signs Posted.

• Violation/Location:

• B. Access road is NOT Adequate width.

• Violation/Location:

• C. Access road has NO Cul-De-Sac OR Hammer Head.

• Violation/Location:

• D. Access road DOES NOT have an adequate Vertical Clearence.

• Violation/Location:

• E. Access road, Fire lanes, and Occupancy Access IS IMPEDED.

• Violation/Location:

Miscellaneous

• A. Occupancy Load NOT posted in conspicuous place.

• Violation/Location:

• B. Fire escape plans NOT posted AND practice not documented OR conducted.

• Violation/Location:

• C. NO First Aid cabinets available.

• Violation/Location:

• D. Employee Training on Fire Extinguishers, Chemical Right to Know and First Aid/CPR not being conducted.

• Violation/Location:

• E. "NO SMOKING" sign NOT posted.

• Violation/Location:

• F. Other:

• Violation/Location:

Additional Comments AND/OR Requirements:

• If at anytime, questions regarding fire safety arises, do not hesitate to contact your local fire department at

Name/Signature of Inspector and Business Representive:

• Inspector Signature:

  Sign

• Business Representative Signature:

  Sign