Information

Inspection Location

  • Name:

  • Address:
  • Select date

Consent to Inspection

  • By signing below, I acknowledge that I have the authority to consent to an inspection at the above mentioned location. I hereby consent to an inspection conducted by Kaufman Fire Department personnel at the above mentioned location.

  • Signature of Consent:

  • Position:

Checklist

Inspection Items

  • Address posted on front of residence, visible from the street, in a minimum of 4" numbers.

  • Smoke detectors located in each bedroom and in corridors outside each bedroom.

  • Smoke detectors located at each floor level of the residence.

  • All electrical plugs and switch covers in place.

  • GFCI outlet plug installed by all sinks or area where water is?

  • All covers on breaker boxes, interior and exterior, are in place.

  • Breakers must be labeled as to what they control and must be listed on the panel cover.

  • Minimum of one window in each bedroom that is capable of being opened in an emergency.

  • Exit doors are free from any double-keyed deadbolt locks.

  • All gas outlets that are not connected to an appliance are capped off in an approved manner.

  • All gas service lines are not copper.

  • Is there CSST installed in the residence?

  • Water heater location:

  • Type of water heater:

  • Water heater is vented through the roof.

  • Water heater must be enclosed in closet.

  • Combustion vent must be installed.

  • Type of water heater:

  • Water heater is vented through the roof.

  • Water heater must be enclosed in closet.

  • Combustion vent must be installed.

  • Water heater minimum of 18 inches above floor level.

  • Water heater pop-off valve is piped to the floor/drain.

  • Does residence have central heating and air conditioning?

  • All windows have intact, non-broken glass.

  • Screens installed on all windows.

  • Approved means of heating the residence.

  • All electrical fixtures are intact.

  • Ceiling and walls are intact, free of any holes.

  • Residence is free from any signs of insects or rodents?

  • Proof of extermination is provided.

  • Central air units located outside have an electrical disconnect next to the unit.

  • Residence is free of any exposed electrical wiring.

Sign Off

Inspection Information

  • Date & Time of Inspection

  • Inspector

  • Inspection Status:

  • Notes:

Tenant/Owner Information

  • Phone Number:

  • Email Address:

  • Signature:

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