Fire Code Violation Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Inspection Conducted On

  Date

• Occupancy Classification

  Select Assembly Business Educational Factory High-Hazard Institutional Mercantile Residential Storage Miscellaneous

  • Assembly
  • Business
  • Educational
  • Factory
  • High-Hazard
  • Institutional
  • Mercantile
  • Residential
  • Storage
  • Miscellaneous

• Nature of Inspection

  Select Routine Requested Reported Violation

  • Routine
  • Requested
  • Reported Violation

• Owner or occupant or manager contact information:

  Yes

  No

  N/A

1.0 Critical Violations

• 1.1- List of critical violations

  Safe

  At Risk

  N/A

• 1.2- Stop work order issued (IFC 2012 edition Section 111 Stop Work Order).

  Yes

  No

  N/A

• 1.3- List of abatements

  Safe

  At Risk

  N/A

• 1.4- Time frame and description of abatements from owner/occupant and or contractor.

  Safe

  At Risk

  N/A

• 1.5- Contractor information.

  List Information

2.0 General Violations

• 2.1- List of violations

  Safe

  At Risk

  N/A

• 2.2- List of abatements

  Safe

  At Risk

  N/A

• 2.3- Time frame and description of abatements from owner/occupant and or contractor.

  Safe

  At Risk

  N/A

• 2.4- Contractor Information.

  List Information

Fire Safety Division Information

• Re-Inspection within 45 calendar days but not less than 30 days after receipt of inspection, unless otherwise noted.

• Contact information for scheduling a re-inspection: Coastal Carolina University Department of Public Safety: Fire Safety Division, 107 Founders Drive Sands Hall Room 119 Conway, SC 29526, (843) 349-6563

• Fire Inspector

  Sign

• South Carolina Resident Fire Marshal Credential Number

  Select FCF.2991

  • FCF.2991