Fire Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Emergency Contacts (At least two):

Outside

• Address is posted on the building and is visible from the roadway.

  Yes

  No

  N/A

• Fire Department access roads are unobstructed.

  Yes

  No

  N/A

• There is no combustible waste accumulation.

  Yes

  No

  N/A

• A Knox box is present where a business is protected by a fire alarm and/sprinkler system.

  Yes

  No

  N/A

• The keys in the Knox box are current.

  Yes

  No

  N/A

Fire Protection Systems

• Fire doors are not wedged open, self close and latch.

  Yes

  No

  N/A

• Portable fire extinguishers are provided, mounted properly and are accessible.

  Yes

  No

  N/A

• Portable fire extinguishers are within the maximum travel distance of 75 feet.

• Portable fire extinguishers are serviced annually.

• Fire Extinguisher Contractor

• Date tagged

• Is the building sprinklered?

  Yes

  No

  N/A

• Fire department connection marked and caps are in place.

  Yes

  No

  N/A

• Fire department connection is clear of obstructions.

  Yes

  No

  N/A

• Fire hydrant is located within 150' of FDC.

  Yes

  No

  N/A

• Fire hydrant is accessible and in service.

  Yes

  No

  N/A

• Backflow preventer OS&Y valves are in the open position with the valves supervised by a tamper switch device and chained in the open position.

  Yes

  No

  N/A

• Sprinkler system riser is accessible and clear of obstructions.

  Yes

  No

  N/A

• System pressure is shown above and below the check valve.

  Yes

  No

  N/A

• Above pressure.

• Below pressure.

• Spare heads and head wrench are present in the head box.

  Yes

  No

  N/A

• Sprinkler System is tested annually and inspected quarterly.

  Yes

  No

  N/A

• Sprinkler contractor?

• Annual test date tagged?

• Is the building equipped with a fire alarm system?

  Yes

  No

  N/A

• Fire alarm system is tested annually.

  Yes

  No

  N/A

• Inspection contractor?

• Annual test date tagged?

• Is the fire alarm monitored?

  Yes

  No

  N/A

• Monitoring company and phone number?

• Does the building have a kitchen fire suppression system?

  Yes

  No

  N/A

• Kitchen Suppression System is serviced semi-annually.

  Yes

  No

  N/A

• Suppression system contractor?

• Date tagged?

• Pressure on extinguishing agent tank is OK?

  Yes

  No

  N/A

• Nozzles are capped, clear of obstructions and provide proper coverage?

  Yes

  No

  N/A

• The kitchen hood is cleaned properly and when required.

  Yes

  No

  N/A

• Type K extinguisher is present within 30ft of cooking equipment.

  Yes

  No

  N/A

• Fire protections systems are maintained in an operative condition and repaired where defective.

  Yes

  No

  N/A

Storage

• Storage height requirement met - storage is maintained 18" below ceiling in sprinklered building.

  Yes

  No

  N/A

• Storage height requirement met - storage is maintained 24" below ceiling in non sprinklered building.

  Yes

  No

  N/A

• Combustible materials are not stored in electrical or mechanical rooms

  Yes

  No

  N/A

• MSDS sheets for hazardous materials are readily available on the premises.

  Yes

  No

  N/A

• Hazardous materials and their storage areas are identified.

  Yes

  No

  N/A

• Rooms or cabinets containing compressed gas are labeled.

  Yes

  No

  N/A

• Compressed gas cylinders are secured.

  Yes

  No

  N/A

• Flammable/combustible liquids in excess of 10 gallons are stored properly.

  Yes

  No

  N/A

Electrical

• Working clearance is present in front of electrical panels of 30"w X 36"d X 78"h.

  Yes

  No

  N/A

• Electrical breakers are properly labeled?

  Yes

  No

  N/A

• Covers are present on electrical panels and unused slots?

  Yes

  No

  N/A

• All junction, switch, and electrical outlet boxes have cover plates.

  Yes

  No

  N/A

• Extension cords are not used as permanent wiring.

  Yes

  No

  N/A

Egress

• The means of egress is not obstructed.

  Yes

  No

  N/A

• The means of egress is illuminated at all times.

  Yes

  No

  N/A

• Egress doors are openable from the egress side without the use of a key or special knowledge.

  Yes

  No

  N/A

• Manually operated flush bolts or surface bolts are not present on egress doors.

  Yes

  No

  N/A

• There is no combustible storage under the stairway ( unless 1 hr. rating).

  Yes

  No

  N/A

• Exits are marked and visible from any direction.

  Yes

  No

  N/A

• Exit signs are internally and externally illuminated at all times.

  Yes

  No

  N/A

• Battery backup on exit signs and emergency lights is operable?

  Yes

  No

  N/A

Additional Information

• Other Comments

  Yes

  No

  N/A

• This is a record of an inspection of your property, noting conditions which exist in violation of the City of Spanish Fort Building, Fire and Life Safety Codes. These conditions constitute a fire and life safety hazard requiring your immediate attention. You are herewith notified to have these violations corrected upon receipt of this notice. Failure to comply will warrant further action from this department.

• Business representative I, the undersigned, have read and understand the conditions of this notice.

  Sign

• Spanish Fort Fire Rescue Department Representative

  Sign

• Re-inspection due: