Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by Ted Saunders, CFPS
-
Location
-
Personnel
Building Information
-
Number of floors
-
Occupied floors below grade level
-
Occupancy type
Emergency Procedures
-
Emergency plan up to date and on file.
-
Evacuation drill conducted within the past 12 months.
-
Emergency evacuation floor plans posted.
-
Employees trained in emergency procedures.
-
Employees trained in proper use of fire extinguishers.
Exit Components
-
Number of exits on level of exit discharge
-
Number of stairwells
-
Means of egress clear, unobstructed and unlocked
-
Fire doors, exit doors and related hardware in good condition and functioning properly
-
Exit signs are code compliant
-
Emergency lights function properly
-
Emergency light placement is code compliant
-
Stairwell floor designation signs installed per code
-
Stairwells are properly identified and clear of storage
-
Fire service emergency phones operating properly
-
Openings & penetrations in stairwells are properly sealed or protected
Fire Alarm
-
Control panel indicates system is powered and clear of trouble or supervisory signals
-
Annunciator panel is functional and accessible
-
Batteries appear to be in good condition
-
Pull station devices are visible and accessible
-
Audio/visual device placement appears adequate
-
Detection devices appear to be functional
-
Date of last vendor test/maintenance
-
Vendor test/maintenance report reviewed
-
Deficiencies noted in vendor report
-
Yes
-
No
-
N/A
Automatic Extinguishing Systems
-
Building is protected by automatic extinguishing system
-
Yes
-
No
-
Type of extinguishing system(s)
-
Wet
-
Dry
-
Pre-action
-
Clean agent
-
Type of clean agent and location
-
N/ A
-
Areas protected by clean agent have proper warning signs and manual activation/abort devices
-
Clean agent heads and detection devices appear to be in good condition
-
Date of last service of clean agent system
-
Type of sprinkler coverage
-
Full
-
Partial
-
Valves and gauges appear functional and in good condition
-
System pressures appear to be adequate
-
Sprinkler heads in good condition and properly placed
-
Spare sprinkler heads and wrench provided
-
Hydraulic design plate provided on main controls
-
Fire department connection is accessible, in good condition and properly marked
-
Date of last sprinkler system service
-
Vendor test/ maintenance report reviewed
-
Deficiencies noted in vendor report
-
Yes
-
No
-
N/A
-
Date of last 5 year obstruction test
Standpipe System
-
Building is equipped with standpipe system
-
Yes
-
No
-
Type of system
-
Wet
-
Dry
-
Pipes, valves, and hose connections are in good condition
-
Caps are in place at each outlet
-
System pressures appear adequate and system appears to be operational
-
Date of last 5 year obstruction test
Fire Pump
-
Building is equipped with fire pump
-
Yes
-
No
-
Type of pump
-
Electrical
-
Diesel
-
Location of fuel supply
-
Interior
-
Exterior
-
N/A
-
Fuel supply is well maintained and free of leaks
-
Pump appears to be in good condition
-
Pump room is heated to minimum of 40 degrees (70 degrees for diesel)
-
Date of last service
-
Date of last flow test
-
Vendor test/maintenance reports available for review
-
Deficiencies noted in vendor report
-
Yes
-
No
-
N/A
-
Vendor test report indicates test was satisfactory
Emergency Power Supply System
-
Building is equipped with emergency power supply system (EPSS)
-
Yes
-
No
-
Select level of EPSS
-
Level 1
-
Level 2
-
EPSS room is well ventilated
-
Battery system is well maintained
-
Location of fuel supply system
-
Interior
-
Exterior
-
Fuel supply system appears to be well maintained and free of leaks
-
Date of last load test
-
Date of last maintenance service
-
Vendor test/maintenance reviewed
-
Deficiencies noted in vendor report
-
Yes
-
No
-
N/A
Portable Fire Extinguishers
-
Extinguishers are properly mounted, visible and accessible
-
Distribution is adequate with travel distances that are code compliant
-
Monthly inspections are recorded on tag
-
Date of last service
Elevators
-
Number of elevators
-
Emergency elevator operations
-
Phase I
-
Phase II
-
Fire department control keys available
-
Emergency phones working properly
-
State certification up to date
General Fire Safety
-
All areas are clear of excessive combustible storage
-
Flammable/combustible liquids are properly stored
-
Minimum 36 inch clearance maintained around heat-producing appliances
-
Minimum 18 inches of clearance maintained between storage and sprinkler heads
-
Electrical appliances properly used and maintained
-
"No smoking" regulations enforced
-
Mechanical & electrical rooms and other areas are code compliant
-
Additional notes
-
Add signature
