Fire & Life Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by Ted Saunders, CFPS Patriot Fire & Life Safety Consulting

• Location
  Address

• Personnel

Building Information

• Is building a high-rise

• Yes

• No

• Number of stories

• Occupancy type

Exit Components

• Number of exits.

  1

  2

  3

  4

• All means of egress clear, unobstructed, and unlocked.

  Yes

  No

  N/A

• Doors, panic bars, and other hardware in good condition and functioning properly.

  Yes

  No

  N/A

• Exit signs are code compliant.

  Yes

  No

  N/A

• Stairwell floor designation signs installed per code.

  Yes

  No

  N/A

• Emergency lights tested and functioning properly.

  Yes

  No

  N/A

• Emergency light placement is code compliant.

  Yes

  No

  N/A

• Fire service phones operating properly

  Yes

  No

  N/A

Emergency Procedures

• Written emergency plan up to date and on file.

  Yes

  No

  N/A

• Evacuation drill conducted within the past 12 months.

  Yes

  No

  N/A

• Emergency evacuation floor plans provided.

  Yes

  No

  N/A

• Employees trained in emergency procedures.

  Yes

  No

  N/A

• Employees trained in proper use of fire extinguishers.

  Yes

  No

  N/A

Fire Alarm System

• Control panel indicates system is powered.

  Yes

  No

  N/A

• Panel is clear of trouble or supervisory signals.

  Yes

  No

  N/A

• Batteries are in good condition.

  Yes

  No

  N/A

• Pull stations are visible and unobstructed.

  Yes

  No

  N/A

• Audio/visual device placement appears adequate.

  Yes

  No

  N/A

• Detection devices are in good condition and functional.

  Yes

  No

  N/A

• Enter date of last service.

• Tap to enter information

  Date

• Vendor test/maintenance report reviewed.

  Yes

  No

  N/A

• Deficiencies noted in vendor report.

• Yes

• No

Automatic Extinguishing Systems

• Building is equipped with automatic extinguishing systems.

• Yes

• No

• Type of system. Check all that apply.

• Wet

• Dry

• Pre-Action

• Deluge

• Clean Agent

• Commercial cooking hood system

• Enter type of coverage.

• Full

• Partial

• Valves and gauges in good condition and functional.

  Yes

  No

  N/A

• Sprinkler heads in good condition and properly placed.

  Yes

  No

  N/A

• Spare sprinkler heads and wrench provided.

  Yes

  No

  N/A

• Clean agent protected areas have proper warning signs and manual activation devices

  Yes

  No

  N/A

• Clean agent heads and detection devices in good condition

  Yes

  No

  N/A

• Clean agent tanks charged and serviced

  Yes

  No

  N/A

• Date of last service.

• Vendor test/maintenance report reviewed.

  Yes

  No

  N/A

• Deficiencies noted in vendor report.

• Yes

• No

Standpipe System

• Building is equipped with standpipe system.

• Yes

• No

• Class of system

• Class I

• Class II

• Class III

• N/A

• Type of system

• Wet

• Dry

• Pipes, valves, hose, and connections are in good condition.

  Yes

  No

  N/A

• Caps are in place at each connection.

  Yes

  No

  N/A

• System appears to be operational.

  Yes

  No

  N/A

• Fire department connection is accessible, in good condition and properly marked.

  Yes

  No

  N/A

Fire Pump

• Building is equipped with fire pump.

• Yes

• No

• Type of pump

• Electrical

• Diesel

• Location of fuel supply

• Interior

• Exterior

• Systems fed by pump

• Sprinkler

• Standpipe

• Hydrants

• Fuel supply for diesel system is well maintained and free of leaks.

  Yes

  No

  N/A

• Pump appears to be in good condition.

  Yes

  No

  N/A

• Pump room is heated to a minimum of 40 degrees (70 degrees for diesel).<br><br><br>

  Yes

  No

  N/A

• Date of last test/inspection.

• Tap to enter information

  Date

• Test/inspection records available for review.

  Yes

  No

  N/A

• Deficiencies noted in test report.

  Yes

  No

  N/A

Emergency Power Supply Systems

• Building is equipped with emergency power supply system.

• Yes

• No

• Select level of EPSS

• Level 1

• Level 2

• EPSS room is well ventilated.

  Yes

  No

  N/A

• Battery systems are well maintained.

  Yes

  No

  N/A

• Location of fuel supply tanks.

• Interior

• Exterior

• Fuel supply system is well maintained and free of leaks.

  Yes

  No

  N/A

• Date of last load bank test.

• Tap to enter information

  Date

• Date of last test/maintenance.

• Tap to enter information

  Date

• Test/maintenance reports reviewed.

• Yes

• No

• Deficiencies noted in vendor report

• Yes

• No

• N/A

Portable Fire Extinguishers

• Extinguishers are properly mounted, accessible and fully charged.

  Yes

  No

  N/A

• Distribution appears adequate.

  Yes

  No

  N/A

• Monthly inspections are recorded on tag.

  Yes

  No

  N/A

• Date of last service.

• Tap to enter information

  Date

Elevators

• Number of elevators.

• 0

• 1

• 2

• 3

• 4

• 5

• 6

• Emergency elevator operations.

• Phase I

• Phase II

• Emergency phones working properly.

  Yes

  No

  N/A

• State certification up to date.

  Yes

  No

  N/A

General Fire Prevention

• All areas are clear of excessive combustible storage.

  Yes

  No

  N/A

• Combustible/flammable liquids are properly stored.

  Yes

  No

  N/A

• Minimum 18 inches of clearance maintained from sprinkler heads.

  Yes

  No

  N/A

• "No smoking" regulations enforced.

  Yes

  No

  N/A

• Electrical appliances properly used and maintained.

  Yes

  No

  N/A

• General good housekeeping is maintained.

  Yes

  No

  N/A

• Additional information.

• Tap to enter information

  Date