Information

  • BUSINESS NAME:

  • BUSINESS ADDRESS:

  • TELEPHONE NUMBER:

  • EMAIL ADDRESS:

  • BUSINESS OWNER / CONTACT:

  • EMERGENCY CONTACT:

  • DATE & TIME OF INSPECTION

  • Prepared by: Joseph Russo

Occupancy

OCCUPANCY TYPE: 2009 IBC 302-312

  • OCCUPANCY USE?

  • Do you need help with Assembly sub categories?

  • Assembly 1-5

    assembly occ IFC 2009
  • Which sub category is it?

  • Is the Occupancy posted (If less than 50 it isn't required)

  • How many people?

  • Do you need help with which occupancies are classified business?

  • Business

    business occ IFC 2009
  • Do you need help with which occupancies are classified educational?

  • Educational

    educational occ IFC 2009
  • Do you need help with which factory sub-category it is?

  • Factory

    factory occ IFC 2009
  • Which sub category is it?

  • Do you need help with which high hazard sub-category it is?

  • High hazard

    high hazard occ IFC 2009
  • Which sub category is it?

  • Do you need help with which instutional sub-category it is?

  • Instutional

    instutional occ IFC 2009
  • Which sub category is it?

  • Do you need help with which occupancies are classified mercantile?

  • Mercantile

    mercantile IFC 2009
  • Do you need help with which residential sub-category it is?

  • Residential

    residential occ IFC 2009
  • Which sub category is it?

  • Do you need help with which storage sub-category it is?

  • Storage

    storage occ IFC 2009
  • Which sub category is it?

  • Do you need help with which occupancies fall into unclassified occupancy?

  • Unclassified

    unclassified occ IFC 2009

Miscellaneous

  • Address visible from road fronting the building, contrasting color, and a min. of 4" x .5" in size. Rear doors need suite numbers of the same minimum size (505.1)

  • Knox Box operational with current keys (506.1)

  • Fire lanes shall be marked (202)

  • Fire hydrants have a 3' cleared circumference (507.5.5)

  • Location of issue

  • Take picture if desired

  • Other

  • Other

Fire Protection Systems

  • Is there a kitchen or fixed suppression (serviced every 6 months)(904)

  • Date inspected by inspection company

  • Look at the service paperwork. Did it pass?

  • Is there a fire sprinkler system (serviced annually) (903)

  • Date inspected by inspection sprinkler company

  • Look at the service paperwork. Did it pass?

  • Has it passed its required 5 yr obstruction test in the last 5 years (paper work on site)

  • Are the sprinkler heads unpainted and free of obstructions

  • Is the Sprinkler room clearly labeled

  • Are there 6 spare heads and a wrench in the box

  • Is FDC clearly visible, marked, free of obstructions and its capped

  • Door to sprinkler riser room shall be label (914.2.4)

  • Is there a stand pipe system (serviced annually) (903)

  • Date inspected by inspection company

  • Look at the service paperwork. Did it pass?

  • Has it passed its required 5 yr obstruction test in the last 5 years (paperwork on site)Is there a kitchen or fixed suppression?

  • Is there a fire alarm system (serviced annually) (907)

  • Date inspected by inspection company

  • Look at the actual paperwork. Did it pass?

  • Is the Fire alarm room clearly labeled

  • Door to fire alarm panel shall be label (914.2.4)

  • Is there a rolling fire door (serviced annually) (909)

  • Date inspected by inspection company

  • Look at the service paperwork. Did it pass?

  • Fire extinguishers serviced annually (906)

  • Location of issue

  • Fire extinguishers minimum of 2 A:10BC (906)

  • Location of issue

  • Maximum travel to a fire extinguisher is 75' (906)

  • Location of issue

  • Other

  • Other

Egress

  • Minimum number of required exits (4>1000, 3 if 501 to 1000, 2 if 1 to 500, 1 exit is allowed if < 50 people & < 75' of travel) (Table 1021.1)

  • Egress path shall be clear of obstructions and clearly illuminated (1030)

  • Location of issue

  • Take picture if desired

  • Exits signs shall be illuminated with battery backup (1011)

  • Location of issue

  • Take picture if desired

  • Emergency egress lighting shall be operational with battery backup (1006)

  • Location of issue

  • Take picture if desired

  • Egress doors will have a minimum of 32" clearance. (1008.1.1)

  • Location of issue

  • Take picture if desired

  • Minimum Aisle clearance will be 36" (1017.2)

  • Location of issue

  • Take picture if desired

  • Exit doors swing in the direction of egress?

  • Other

  • Other

Electrical

  • Electrical cords shall not pass through walls, ceilings or doorways (605.4.3)

  • Location of issue

  • Take picture if desired

  • Electrical cords shall not be affixed to structures, and must be protected from damage (605)

  • Location of issue

  • Take picture if desired

  • Extension cords shall not be used for permanent wiring (90 days), they will supply only one device and must be plugged into an approved receptacle, power tap, or multiplug adapter. The capacity of the extension cord shall be greater than the rated capacity of the portable appliance it supplies. (605.5)

  • Location of issue

  • Take picture if desired

  • Junction boxes, breaker panels, and electrical outlets shall have approved covers (605.1)

  • Location of issue

  • Take picture if desired

  • Power strips shall be over current protected, UL listed, and plugged directly into wall outlets (605.4)

  • Location of issue

  • Take picture if desired

  • Door into electrical control panel rooms shall be marked plainly and legibly "ELECTRICAL ROOM" (605.3.1)

  • Location of issue

  • Take picture if desired

  • Electrical motors shall be free from excessive accumulations of oil, dirt, waste and debris (605.8)

  • Location of issue

  • Take picture if desired

  • Other

  • Other

Housekeeping

  • Storage shall be maintained 24" below ceiling in non sprinklered buildings, and 18" in sprinklered buildings (315.3.1)

  • Location of issue

  • Take picture if desired

  • Electrical panels, boilers and furnaces shall have a clearance from combustibles (NFPA) (315.2)

  • Location of issue

  • Take picture if desired

  • Ceiling tiles shall be in place (703.1)

  • Location of issue

  • Take picture if desired

  • Compressed gas cylinders shall be secured and protected from physical damage (5304)

  • Location of issue

  • Take picture if desired

  • Gasoline stored on site

  • Is it more than 10 gallons? (3404.3.4.4)

  • It must be in an approved cabinet, up to 60 gallons.

  • Other

  • Other

CLOSING INFORMATION

  • No deficiencies noted

DEFICIENCY ISSUES & REINSPECTION ITEMS - additional items?

REINSPECTION INFORMATION:

  • REINSPECTION NEEDED?

  • REINSPECTION DATE & TIME

  • Follow up notes

  • Follow up notes

  • Follow up notes

  • Property representative:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.