Title Page

  • Business Name

  • Location
  • Date of Inspection

  • Inspector

  • Fire apparatus access road (fire lane)

  • Water supply for fire protection (fire hydrant or NFPA 22 tank)

  • Fire department connection

  • Address

  • Approved locking key box

  • Fuel gas system (natural gas or propane)

  • Electrical system

  • Emergency generator

  • Occupant load

  • Egress pathways

  • Emergency lighting

  • Exit signs

  • Number of exits / separation distance

  • Door hardware and force required to open

  • Fire extinguishers

  • Kitchen hood system

  • Fire alarm system

  • Fire sprinkler system / riser room

  • Storage commodity

  • Fire rated assemblies (walls, barriers, doors, windows, etc.)

  • General housekeeping

  • Documentation

  • Documentation may include third-party inspection reports, evacuation drills, emergency preparedness plans, etc.

  • Other

  • Other Violation

Inspection Status

  • Inspection Status

  • Next Inspection

  • Owner / Representative

  • Phone #

  • Email Address

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.