Title Page

  • Document No.

  • Residential Life Safety Inspection

  • Forney Fire Marshal's Office

  • Conducted on

  • Fire Marshal

  • Location
  • Fire Marshal John Holcomb

General

  • House plans

  • Picture of front of house

  • House numbers are visible from the street

  • Picture of Address

  • House within 500 feet of a fire hydrant

  • Gas Meter

  • Picture of Gas meter

  • Solar Power to structure

  • Electric meter

  • Picture of electric meter

Living Areas

  • Fireplace has Spark Screen

  • Exits have thumb lock latches. No double key locks.

  • All electrical in good condition

Sleeping Areas

  • Smoke detectors installed in all sleeping areas and immediately outside of sleeping areas

  • All sleeping areas have an operable window

  • No double key locks on bedrooms

  • Closet doors can be opened from the inside

  • All electrical in good condition

Kitchen Area

  • All appliances in good condition

  • GFCI plugs installed per Code

  • Vent-A-Hoods installed correctly

  • All electrical in good condition

Laundry/HVAC/Water Heater/Outside Area

  • Area around Heater and Water Heater clear of combustibles

  • Dryer Vent Clear

  • Breakers/Fuses not blocked and are Labeled

  • Propane grills and outdoor fire places installed correctly

  • Exterior of residence free of any overgrowth of Brush, Grass, Combustibles

  • Flammable liquids properly stored

  • Notes:

  • Signature:

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