Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Planned and unplanned fire drills conducted at regular intervals. Date of most recent drill:___________
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Annual maintenance checks of portable fire extinguishers completed and inspection tags on each extinguisher reflect the date completed.
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Fire alarms functioning properly and tested annually. Date of most recent test:
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Electrical closets free of storage
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Exposure to overhead electrical lines controlled
Signature
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Any other comments?
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When completed please provide signature here: