Fire Safety Inspection (Residential)

• Site conducted

  Select
• Location
  Address

• Conducted on

  Date

• Prepared by

• Recommending Agency/ Requesting Party

• Recommending Agency Address
  Address

• Name of Family/ Facility

• Owner Name

• Representative

• Contact Phone Number

• Facility Type

  Select Foster or Adoptive Home (Less than 5 Foster or Adoptive Children) Group Home (Max 10 Children) Children's Residential Center (11 or more Children) Other

  • Foster or Adoptive Home (Less than 5 Foster or Adoptive Children)
  • Group Home (Max 10 Children)
  • Children's Residential Center (11 or more Children)
  • Other

• Other type of residential use

• Building Code Reference

  Select Building code applied at time of last inspection report No information available (new application) Not applicable

  • Building code applied at time of last inspection report
  • No information available (new application)
  • Not applicable

• Explanation

Structure Information

• Type of structure

  Select Single family Two family Apartment Group home Children's Residential Center Crisis Care Facility

  • Single family
  • Two family
  • Apartment
  • Group home
  • Children's Residential Center
  • Crisis Care Facility

• Manufactured

  Mobile

  Modular

  Standard Construction

• Type of construction

  Frame

  Brick

  Block

  Other

• Explanation

• Type of floors

  Wood

  Concrete

  Other

• Explanation

• Type of stairways

  Wood

  Concrete

  Steel

  Other

• Explanation

• Number of floors

• Floors approved for sleeping arrangements

  Select First Second Third Basement

  • First
  • Second
  • Third
  • Basement

• Limitations on sleeping arrangements

General Requirements

• Two remote means of escape from each level where child care is provided.

  Yes

  No

  N/A

• Means of escape free from clutter and other obstructions.

  Yes

  No

  N/A

• Stairs, hallways, and passages to exit are adequately lighted.

  Yes

  No

  N/A

• No room used for children is reached only by ladder or trapdoor.

  Yes

  No

  N/A

• Child-proof covers are used on electrical receptacles.

  Yes

  No

  N/A

• Extension cords are used only as temporary wiring.

  Yes

  No

  N/A

• Flammable and combustible materials are properly stored

  Yes

  No

  N/A

• Floor plan is posted showing fire and emergency evacuation route from facility.

  Yes

  No

  N/A

• Record is kept of practice fire drills.

  Yes

  No

  N/A

Foster and Adoptive Homes

• A working U.L. approved smoke alarm on each level of occupancy of the home?

  Yes

  No

  N/A

• A U.L. approved portable fire extinguisher in working order in or near cooking area?

  Yes

  No

  N/A

• Unvented kerosene or oil heaters are not is use and evidence shows such?

  Yes

  No

  N/A

Residential Facilities

• Group Home, CRC or Crisis Care Facility

• Are smoke detectors located according to instructions of the local fire inspector or state fire marshal?

  Yes

  No

  N/A

• Free standing wood burning stoves and unvented kerosene gas or oil heaters shall not be used. Is<br>there any evidence of usage?

  Yes

  No

  N/A

• Is the written calendar of periodic fire drills (developed by the agency) approved by fire inspector?

  Yes

  No

  N/A

• Is the evacuation plan approved?

  Yes

  No

  N/A

Facility Specific Information

• Is a fire alarm system provided

  Yes

  No

• Type of alarm system

  Smoke detector

  Other

• Explanation

• Is the alarm system compliant

  Yes

  No

• Is a fire suppression system provided

  Yes

  No

• Type of suppression system

• Is the suppression system compliant

  Yes

  No

Fire Safety Infraction(s)

• Is the facility reasonably free from conditions hazardous to the safety of children and approved as such?

  Yes

  No

• Explanation

Fire Safety Infraction(s)

• Location of Infraction

• Photo of Infraction

  Media

• Infraction Description

• Ohio Administrative Code Section

  Select 1301:7-7-01 Scope and administration. 1301:7-7-02 Definitions. 1301:7-7-03 General requirements. 1301:7-7-04 Emergency planning and preparedness. 1301:7-7-05 Fire service features. 1301:7-7-06 Building services and systems. 1301:7-7-07 Fire and smoke protection features. 1301:7-7-08 Interior finish, decorative materials and furnishings. 1301:7-7-09 Fire protection systems. 1301:7-7-10 Means of egress. 1301:7-7-11 Construction requirements for existing buildings. 1301:7-7-20 Aviation facilities. 1301:7-7-21 Dry cleaning. 1301:7-7-22 Combustible dust-producing operations. 1301:7-7-23 Motor fuel-dispensing facilities and repair garages. 1301:7-7-24 Flammable finishes. 1301:7-7-25 Fruit and crop ripening. 1301:7-7-26 Fumigation and insecticidal fogging. 1301:7-7-27 Semiconductor fabrication facilities. 1301:7-7-28 Lumber yards and agro-industrial, solid biomass and woodworking facilities. 1301:7-7-29 Manufacture of organic coatings. 1301:7-7-30 Industrial ovens. 1301:7-7-31 Tents and other membrane structures. 1301:7-7-32 High-piled combustible storage. 1301:7-7-33 Fire safety during construction and demolition. 1301:7-7-34 Tire rebuilding and tire storage. 1301:7-7-35 Welding and other hot work. 1301:7-7-36 Marinas. 1301:7-7-37 Combustible fibers. 1301:7-7-39 Plant processing and extraction facilities. 1301:7-7-50 Hazardous materials-general provisions. 1301:7-7-51 Aerosols. 1301:7-7-53 Compressed gases. 1301:7-7-54 Corrosive materials. 1301:7-7-55 Cryogenic fluids. 1301:7-7-56 Explosives and fireworks. 1301:7-7-57 Flammable and combustible liquids. 1301:7-7-58 Flammable gases and flammable cryogenic fluids. 1301:7-7-59 Flammable solids. 1301:7-7-60 Highly toxic and toxic materials. 1301:7-7-61 Liquefied petroleum gases. 1301:7-7-62 Organic peroxides. 1301:7-7-63 Oxidizers, oxidizing gases and oxidizing cryogenic fluids. 1301:7-7-64 Pyrophoric materials. 1301:7-7-65 Pyroxylin (cellulose nitrate) plastics. 1301:7-7-66 Unstable (reactive) materials. 1301:7-7-67 Water-reactive solids and liquids. 1301:7-7-80 Referenced standards.

  • 1301:7-7-01 Scope and administration.
  • 1301:7-7-02 Definitions.
  • 1301:7-7-03 General requirements.
  • 1301:7-7-04 Emergency planning and preparedness.
  • 1301:7-7-05 Fire service features.
  • 1301:7-7-06 Building services and systems.
  • 1301:7-7-07 Fire and smoke protection features.
  • 1301:7-7-08 Interior finish, decorative materials and furnishings.
  • 1301:7-7-09 Fire protection systems.
  • 1301:7-7-10 Means of egress.
  • 1301:7-7-11 Construction requirements for existing buildings.
  • 1301:7-7-20 Aviation facilities.
  • 1301:7-7-21 Dry cleaning.
  • 1301:7-7-22 Combustible dust-producing operations.
  • 1301:7-7-23 Motor fuel-dispensing facilities and repair garages.
  • 1301:7-7-24 Flammable finishes.
  • 1301:7-7-25 Fruit and crop ripening.
  • 1301:7-7-26 Fumigation and insecticidal fogging.
  • 1301:7-7-27 Semiconductor fabrication facilities.
  • 1301:7-7-28 Lumber yards and agro-industrial, solid biomass and woodworking facilities.
  • 1301:7-7-29 Manufacture of organic coatings.
  • 1301:7-7-30 Industrial ovens.
  • 1301:7-7-31 Tents and other membrane structures.
  • 1301:7-7-32 High-piled combustible storage.
  • 1301:7-7-33 Fire safety during construction and demolition.
  • 1301:7-7-34 Tire rebuilding and tire storage.
  • 1301:7-7-35 Welding and other hot work.
  • 1301:7-7-36 Marinas.
  • 1301:7-7-37 Combustible fibers.
  • 1301:7-7-39 Plant processing and extraction facilities.
  • 1301:7-7-50 Hazardous materials-general provisions.
  • 1301:7-7-51 Aerosols.
  • 1301:7-7-53 Compressed gases.
  • 1301:7-7-54 Corrosive materials.
  • 1301:7-7-55 Cryogenic fluids.
  • 1301:7-7-56 Explosives and fireworks.
  • 1301:7-7-57 Flammable and combustible liquids.
  • 1301:7-7-58 Flammable gases and flammable cryogenic fluids.
  • 1301:7-7-59 Flammable solids.
  • 1301:7-7-60 Highly toxic and toxic materials.
  • 1301:7-7-61 Liquefied petroleum gases.
  • 1301:7-7-62 Organic peroxides.
  • 1301:7-7-63 Oxidizers, oxidizing gases and oxidizing cryogenic fluids.
  • 1301:7-7-64 Pyrophoric materials.
  • 1301:7-7-65 Pyroxylin (cellulose nitrate) plastics.
  • 1301:7-7-66 Unstable (reactive) materials.
  • 1301:7-7-67 Water-reactive solids and liquids.
  • 1301:7-7-80 Referenced standards.

• OFC Section

• Recommended Remediation

Positive Observations

• Photo of Positive Observation

  Media

• Positive Observation Description

• Inspection Notes

Report(s) Copies

• Report(s) shall be sent to

Attachment(s)

• Attachment

  Media

• Was the inspection able to be completed

  Yes

  No

• Why couldn't the inspection be completed

• Re-inspection date

• This home/facility is found to be in compliance and is approved.

  Yes

  No

  N/A

• The infractions found here in shall be corrected by the real property owner or their designee to meet OFC and ODJFS regulation and request a re-inspection for approval.

  Sign

• Fire inspector completing and serving this report as a document of findings

  Sign