Fire Safety Inspection

• 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

• Floor Area (Per Floor)

Exterior

• Overall appearance of exterior.

  Safe

  At Risk

  N/A

• Is there sufficient parking, including Handicap parking?

  Yes

  No

  N/A

• Is there ADA approved Handicap access?

  Yes

  No

  N/A

• Are building entrances clear?

  Yes

  No

  N/A

• 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

Interior

• 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

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

  Yes

  No

  N/A

Signatures

• Owner or Representative

  Sign

• Fire Safety Inspector

  Sign