HNL T-Hanger Tenant Life Safety Compliance Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Company / Tenant Information

• Name of Company / Tenant

• Location of Tenant Space

• Tenant Aircraft Information

• Tenant has a current Revocable Permit or Lease with AIR-PM for space.

  Yes

  No

  N/A

• Only Aeronautical activity being observed and / or items being stored in tenant's space?

  Yes

  No

  N/A

• Date & Time of Life Safety Compliance Audit

  Date

General Housekeeping

• NFPA 1 19.1.2 No person owning or having control of any property shall allow any combustible material to accumulate in any area or in any manner that creates a fire hazard to life or property.

  Safe

  At Risk

  N/A

• NFPA 1 19.1.3 Combustible waste or refuse shall be properly stored or disposed of to prevent unsafe conditions.

  Safe

  At Risk

  N/A

NFPA 1 10.19* Combustible Materials.

• NFPA 1 10.19.1 Storage of combustible materials shall be orderly.

  Safe

  At Risk

  N/A

• NFPA 1 10.19.4 Combustible material shall not be stored in near exits.

  Safe

  At Risk

  N/A

NFPA 1 11.1 Electrical Fire Safety.

• NFPA 1 11.1.5 Extension cords shall not be used as a substitute for permanent wiring.

  Safe

  At Risk

  N/A

• NFPA 1 11.1.5.3.1 Extension cords shall be plugged directly into an approved receptacle, power tap, or multiplug adapter and shall, except for approved multiplug extension cords, serve only one portable appliance.

  Safe

  At Risk

  N/A

• NFPA 1 11.1.5.3.5 Extension cords and flexible cords shall not be affixed to structures; extend through walls, ceilings, or floors, or under doors or floor coverings; or be subject to environmental or physical damage.

  Safe

  At Risk

  N/A

NFPA 1 13.6 Portable Extinguishers.

• NFPA 1 13.6.3.3 Fire extinguishers shall be conspicuously located where they will be readily accessible and immediately available in the event of fire. Preferably, they shall be located along normal paths of travel, including exits from areas. [NFPA 10:1.5.3]

  Safe

  At Risk

  N/A

• NFPA 1 13.6.3.10 Fire extinguishers having a gross weight not exceeding 40 lb (18.14 kg) shall be installed so that the top of the fire extinguisher is not more than 5 ft (1.53 m) above the floor. [NFPA 10:1.5.10]

  Safe

  At Risk

  N/A

Other HDOT Non-Compliance Finding(s)

• Inspector's Finding(s)

Life Safety Compliance Audit Photo(s)

• Inspector's Non-Compliance Photo(s)

  Media

Life Safety Compliance Audit Recommendations

• Inspector's Recommendation(s)

HDOT Life Safety Compliance Inspector(s) / Tenant Signatures

• HDOT-Airports Inspector

  Sign

• Tenant Representative

  Sign

Life Safety Compliance Audit Review(s)

• AIR-LF

  Date

• AiR-OO, AIR-O

  Date

• AIR-L, AIR-LG, AIR-LC, AIR-PM

  Date

• Next HDOT Life Safety Compliance Audit Scheduled

  Date