Fire Safety Inspection / Business

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Contacts

• Property Owner (Name, Phone Number, Email)

• Representative assisting with inspection (Name, TitlePhone Number, Email)

Building Information

• Name of Building

• 911 Address (Physical Address)

• Tax Map ID Number

• Number of Stories Above Grade

  1

  2

  3

  4

  More than 4

• Number of Stories Below Grade

  0

  1

  2

  More than 2

Exterior

• Is the 911 address posted in a conspicuous place code compliant?

  Yes

  No

  N/A

• Are all Fire Lanes clearly Posted and Marked?

  Yes

  No

  N/A

• Is there sufficient parking, including Handicap parking?

  Yes

  No

  N/A

• Are building entrances clear?

  Yes

  No

  N/A

• Is emergency lighting above exterior doors working properly?

  Yes

  No

  N/A

• Do all outside storage and/or trash containers conform Code?

  Yes

  No

  N/A

• Are there any exterior Building Code violations?

  Yes

  No

  N/A

Occupancy

• Occupancy Type

  Select A-1 A-2 A-3 A-4 A-5 B E F-1 (Moderate-Hazzard) F-2 (Low-Hazzard) H-1 H-2 H-3 H-4 H-5 I-1 I-2 I-3 I-4 R-1 R-2 R-3 R-4 S-1 S-2 U Multiple Occupancy

  • A-1
  • A-2
  • A-3
  • A-4
  • A-5
  • B
  • E
  • F-1 (Moderate-Hazzard)
  • F-2 (Low-Hazzard)
  • H-1
  • H-2
  • H-3
  • H-4
  • H-5
  • I-1
  • I-2
  • I-3
  • I-4
  • R-1
  • R-2
  • R-3
  • R-4
  • S-1
  • S-2
  • U
  • Multiple Occupancy

• Multiple Occupancy Detail - Floor Area and Function of Space (Per Room)

• Are all appropriate Occupancy Signs posted and in proper locations?

  Yes

  No

  N/A

Interior

Fire Suppression

• Are Portable Fire Extinguisher inspections up to date?

  Yes

  No

  N/A

• Are Portable Fire Extinguishers mounted properly and free of obstructions?

  Yes

  No

  N/A

• Is there an adequate number of Portable Fire Extinguishers?

  Yes

  No

  N/A

Egress

• Are Exit Doors clearly marked, illuminated and free from obstruction?

  Yes

  No

  N/A

• Are all Exit Doors unlocked?

  Yes

  No

  N/A

• Are all Exits well lit?

  Yes

  No

  N/A

Electrical

• Are all Electrical Outlets and Plates free from exposed wiring?

  Yes

  No

  N/A

• Are Extension Cords used properly? (Temporary Only)

  Yes

  No

  N/A

• Are Electrical Panels clear at least 36" of storage or combustibles?

  Yes

  No

  N/A

Training

• Does this Building have a written Fire Safety Plan? (Req for some occ)

  Yes

  No

  N/A

• Are Employees trained in Fire Safety and able to use a Fire Extinguisher?

  Yes

  No

  N/A

• Are all Employees aware of the location of Fire Extinguishers and Exit Doors?

  Yes

  No

  N/A

• Are Emergency Fire Evacuation Drills conducted annually? (NYFC 405.2)

  Yes

  No

  N/A

• Are Emergency Fire Evacuation Drills recorded? 1-conductor 2-date/time 3-notification used 4-staff participating 5-# of occupants evacuated 6-conditions simulated 7-problems encountered 8-weather 9-time required

  Yes

  No

  N/A

Hazardous

• Are all Hazardous Materials labeled properly?

  Yes

  No

  N/A

• Are Hazardous Materials stored and disposed of properly?

  Yes

  No

  N/A

• Is Liquid Propane used and stored properly?

  Yes

  No

  N/A

Signatures

• Owner or Representative

  Sign

• Fire Safety Inspector

  Sign