Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

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

  • Location
  • Personnel

Building Information

  • Is building a high-rise

  • Yes

  • No

  • Number of stories

  • Occupancy type

Exit Components

  • Number of exits.

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

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

  • Exit signs are code compliant.

  • Stairwell floor designation signs installed per code.

  • Emergency lights tested and functioning properly.

  • Emergency light placement is code compliant.

  • Fire service phones operating properly

Emergency Procedures

  • Written emergency plan up to date and on file.

  • Evacuation drill conducted within the past 12 months.

  • Emergency evacuation floor plans provided.

  • Employees trained in emergency procedures.

  • Employees trained in proper use of fire extinguishers.

Fire Alarm System

  • Control panel indicates system is powered.

  • Panel is clear of trouble or supervisory signals.

  • Batteries are in good condition.

  • Pull stations are visible and unobstructed.

  • Audio/visual device placement appears adequate.

  • Detection devices are in good condition and functional.

  • Enter date of last service.

  • Tap to enter information

  • Vendor test/maintenance report reviewed.

  • 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.

  • Sprinkler heads in good condition and properly placed.

  • Spare sprinkler heads and wrench provided.

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

  • Clean agent heads and detection devices in good condition

  • Clean agent tanks charged and serviced

  • Date of last service.

  • Vendor test/maintenance report reviewed.

  • 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.

  • Caps are in place at each connection.

  • System appears to be operational.

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

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.

  • Pump appears to be in good condition.

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

  • Date of last test/inspection.

  • Tap to enter information

  • Test/inspection records available for review.

  • Deficiencies noted in test report.

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.

  • Battery systems are well maintained.

  • Location of fuel supply tanks.

  • Interior

  • Exterior

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

  • Date of last load bank test.

  • Tap to enter information

  • Date of last test/maintenance.

  • Tap to enter information

  • 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.

  • Distribution appears adequate.

  • Monthly inspections are recorded on tag.

  • Date of last service.

  • Tap to enter information

Elevators

  • Number of elevators.

  • 0

  • 1

  • 2

  • 3

  • 4

  • 5

  • 6

  • Emergency elevator operations.

  • Phase I

  • Phase II

  • Emergency phones working properly.

  • State certification up to date.

General Fire Prevention

  • All areas are clear of excessive combustible storage.

  • Combustible/flammable liquids are properly stored.

  • Minimum 18 inches of clearance maintained from sprinkler heads.

  • "No smoking" regulations enforced.

  • Electrical appliances properly used and maintained.

  • General good housekeeping is maintained.

  • Additional information.

  • Tap to enter information

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