Title Page

  • Local Registration #

  • LHU Registration #

  • Business Name

  • Business Address
  • Business #

  • Email for NOV

  • Municipality

  • Inspection Date

  • Inspector

Hood Suppression

  • Hood Suppression

  • Call Fire Marshal Immediately

  • Last Inspection Date

  • Fire Protection Contractor Name

  • Fire Protection Contractor Phone #

  • Hood Suppression Report

  • Hood Suppression Coverage Correct?

  • Which Appliance Does Not Have Proper Coverage

Hood Exhaust System

  • Hood Exhaust Condition

  • Call Fire Marshal Immediately

  • Hood Cleaning Sticker Present?

  • Last Cleaning Date

  • Hood Cleaning Records

  • Hood Cleaning Company

  • Hood Cleaning Company Phone #

  • Hood Filter Condition

  • Current Hood Filter Cleaning Frequency

  • Does Hood Filter Cleaning Frequency Need to be Changed

  • How Often Do the Filters have to be Cleaned

  • Who Cleans Hood Filters

  • Hood Filter Cleaning Company Info

  • Hood Exhaust Vent Exterior

  • Is Hood Cleaning Schedule Satisfactory?

  • New Cleaning Frequency

Cooking Appliances

  • Condition of Cooking Appliances

  • Which Appliances Require Cleaning

  • Cooking Appliance Working Order

  • Which Appliances are not Working

Inspectors Notes

  • Inspectors Notes & Comments

  • Inspector 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.