Title Page
-
Conducted on
-
Business Name
-
Physical Address
-
Billing Address
-
Phone Number
-
Email
Emergency contacts
-
Emergency contacts
Contact information
-
Contact Name
-
Contact Phone #
-
Key Holder
-
Alarm Code
Structurial Information
-
Knox Box
- Checked Box
- New key added
- No box
- Key okay
- Needs key
-
Occupancy Type
- Assembly
- Business
- High Rise
- Industrial
- Manufacturing
- Mercantile
- Multi family
- Residential
- Other
-
Other business type information
-
Construction Type
-
Roof Construction
- Bow String
- Heavy Timber/ Glue Lamination
- Light Weight Steal Truss
- Light Wood Truss
- Metal Truss
- Steel
- Steel I-Beam Q-Deck
- Wood Truss
- Wood Truss Joist I-Beam
-
Roof Covering
- Asphalt
- Asphalt Shingles
- Composite Shingles
- Mop Tar
- Plastic Membrane
- Non-combustible Metal Tile
- Wood Shake Shingles
- Rubber
-
Building Length
-
Building Width
-
Building Height
-
Number of Floors
Protection Information
-
Sprinkler Room Location
-
Fire Department Connection Location & Type
-
Standpipe Location
-
Electric Meter Location
-
Gas Meter Location
-
Water Heater Location
-
Closest Hydrant (distance & location)
-
Second Closest Hydrant (distance & location)
Haz-Mat Information
- Chemical Information
-
Chemical Name
-
DOT ID #
-
Notes
Other Information
-
Distance Between Exposures
Exposure Information
-
Special or Unseen Conditions
Close Out
-
FD personnel signature
