Fire Marshal Inspection Form

• Facility Name

• Inspection Date and Time

  Date

• Inspected by

• Address/Location
  Address

Fire Marshal Inspection

• All exits, fire escapes, hallways, corridors, stairwells, stairway doors, etc., used in connection with an exit are free from obstruction/storage, kept closed, not blocked or wedged open, and in good repair

  Yes

  No

  N/A

• Required exit signs and emergency lighting are properly illuminated and operational

  Yes

  No

  N/A

• Locking devices or hardware allow immediate egress

  Yes

  No

  N/A

• Heating equipment meets requirements (no open flame or portable heaters)

  Yes

  No

  N/A

• Laundry is kept clean and all equipment free from lint and dust

  Yes

  No

  N/A

• Required fire extinguishers are maintained and serviced regularly

  Yes

  No

  N/A

• Facility has an adequate water supply for fire fighting capability

  Yes

  No

  N/A

• Facility has an approved written fire and disaster plan

  Yes

  No

  N/A

• Electrical wiring and equipment are in safe condition

  Yes

  No

  N/A

• Electrical cords are in good condition, not frayed, spliced, or overloaded

  Yes

  No

  N/A

• Covers are provided for all electrical switches, convenience outlets, and junction boxes

  Yes

  No

  N/A

• Fire alarm system is operative and properly tagged by licensed fire alarm company

  Yes

  No

  N/A

• Commercial range hood extinguisher is inspected and maintained by licensed personnel every six months

  Yes

  No

  N/A

• Gas heating units are checked for proper operation by licensed personnel, as required

  Yes

  No

  N/A

• Sprinkler system is operational and properly maintained

  Yes

  No

  N/A

• To the best of my knowledge, the facility meets local fire safety requirements

  Yes

  No

  N/A

COMPLETION

• Comments/Recommendations

• Fire Marshal Name and Signature

  Sign