Fire And Life Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fire and Life Safety Inspection

• Add location
  Address

• Select date

  Date

Housekeeping

• Is the building free from litter?

  Yes

  No

  N/A

• Is refuse being picked up at frequent intervals?

  Yes

  No

  N/A

• Do trash cute doors open and latch on their own?

  Yes

  No

  N/A

• Are walls (including doors) covered with less than 20% for each section?

  Yes

  No

  N/A

Fire Protection Equipment

• Are fire extinguishers located off the floor in a designated marked/labeled area and unobstructed?

  Yes

  No

  N/A

• Are all sprinkler heads free from damage and paint?

  Yes

  No

  N/A

• Does the sprinkler system have a current green tag?

  Yes

  No

  N/A

• Does the sprinkler riser have a hydrostatic test plate on the riser?

  Yes

  No

  N/A

• Are all sprinkler risers easily assessable and rooms free from storage?

  Yes

  No

  N/A

• Are all sprinkler heads free from obstructions?

  Yes

  No

  N/A

• Is the fire alarm panel cabinet locked?

  Yes

  No

  N/A

• Is the alarm system normal? (Troubles, supervisories, and fire alarms)

  Yes

  No

  N/A

• Are the FDC's and PIV's unblocked?

  Yes

  No

  N/A

• Does the FDC has both connections covered?

  Yes

  No

  N/A

• Is the PIV in the locked position?

  Yes

  No

  N/A

General Fire Safety

• Is there a minimum of 36" clearance between storage and heating equipment?

  Yes

  No

  N/A

• Are there any gasoline or natural gas powered equipment inside the building?

  Yes

  No

  N/A

• Are there any flammable or combustible chemicals located outside of an approved storage container?

  Yes

  No

  N/A

• Are all gas cylinders secure? Give specific locations in notes

  Yes

  No

  N/A

• Are dryer vents free from lint and debris?

  Yes

  No

  N/A

• Are any ceiling tiles broken or missing?

  Yes

  No

  N/A

• Are any items hanging from the ceiling?

  Yes

  No

  N/A

Exits and Doors

• Do all fire doors close completely and latch on their own?

  Yes

  No

  N/A

• Are all exit and egress doors unobstructed (width of doors maintained throughout the egress path)?

  Yes

  No

  N/A

• Can all exit doors open without any special knowledge, key, or unapproved device?

  Yes

  No

  N/A

• Is there at least 10' of clearance outside all exit doors?

  Yes

  No

  N/A

• Are there any visible penetrations in the fire walls that are not sealed with fire caulk?

  Yes

  No

  N/A

• Are all stairways, stairwells, and corridors free from obstructions?

  Yes

  No

  N/A

• Are all stairways, stairwells, and corridors free from storage of any kind?

  Yes

  No

  N/A

Exit Signs and Emergency Lighting

• Are all exit signs lit (where lighted exit signs exist)?

  Yes

  No

  N/A

• Are all exit signs in working order?

  Yes

  No

  N/A

• Are all exit signs free from damage?

  Yes

  No

  N/A

• Are all exit signs visible?

  Yes

  No

  N/A

• Are all doors that could be confused as an exit marked "NOT AN EXIT"?

  Yes

  No

  N/A

Electrical Safety

• Are there any extension cords being used? If Yes, are they being used for TEMPORARY purposes?

  Yes

  No

  N/A

• Is there at least 36" of clearance between electrical service equipment (ie. Breaker panels) and storage?

  Yes

  No

  N/A

• Are there any unapproved multi plug adapters being used? If so, list location(s) of adapters.

  Yes

  No

  N/A

• Are all electrical outlets equipped with an approved cover?

  Yes

  No

  N/A

• Are all spliced wires covered with an approved box?

  Yes

  No

  N/A

Planning and Preparedness

• Are fire evacuation plans posted and visible?

  Yes

  No

  N/A

• Are severe weather shelter plan posted and visible?

  Yes

  No

  N/A

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