Information

  • Occupant

  • Location
  • Phone Number

  • Emergency Contact Name

  • Emergency Contact Number

  • Classification

  • Type

  • District

  • Conducted on

  • Document No.

  • Inspector:

Fire Inspection

Hazard Type

Heating

  • 1. Combustibles too near heater

  • 2. Improper portable heater

  • 3. Improper Ventilation

Grills

  • 4. Improper storage

  • 5. Operating too close to combustibles

Exits

  • 6. Exits blocked

  • 7. Storage in exit access

  • 8. Improper fire exit

  • 9. Improper locking mechanism

  • 10. Emergency exit signs / lighting

Electrical

  • 11. Defective fixture

  • 12. Defective wiring

  • 13. Misuse of extension cords

  • 14. Clearance of electrical equipment

Miscellaneous

  • 15. Rubbish and trash

  • 16. Improper storage of flammable liquids

  • 17. Fire extinguishers

  • 18. Auto hood system

  • 19. Sprinkler system

  • 20. Fire alarm system

  • 21. Other

Remarks

  • Owner / Employee Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.