JB Charleston Fire Life Safety Inspection

• Unit Inspected

• Conducted on

  Date

• Audit Title (Facility Number)

• Facility Name

• This should be what the Primary Occupants call the facility.

• Facility Name Synonyms?

• Other than main facility name, does the occupants call the building something else? More than one unit in facility - what do the secondary units call the building?

• Facility Address

• Facility Manager

• Facility Manager Phone

• Accompanying Person (if not Facility Manager)

Building Information

• Occupancy Use Group (NFPA 101)

  Select Assembly Business Educational Detention and Correctional Health Care Industrial Mercantile Residential - Lodging or Rooming House Residential - One and Two Family Residential - Hotel Residential - Dormitory Residential - Apartment Building Storage

  • Assembly
  • Business
  • Educational
  • Detention and Correctional
  • Health Care
  • Industrial
  • Mercantile
  • Residential - Lodging or Rooming House
  • Residential - One and Two Family
  • Residential - Hotel
  • Residential - Dormitory
  • Residential - Apartment Building
  • Storage

• Occupancy Group Comments

• Construction Type (per FRA)

  Type I/ II Fire-Resistive

  Type I/II 1 Hr

  Type IV-HT, V 1-HR

  Type II/III N

  Type V - N

• Number of Stories Above Grade

  0

  1

  2

  3

  4

• Number of Stories Below Grade

  0

  1

  2

  3

  4

• Pictures

  Media

FRA

• Separation

  100 ft or more

  61- 100 feet

  31 - 60 ft

  11 - 30 ft

  10 feet or less

• Area

  0 - 7,500 sq ft

  7,501 - 15,000 sq ft

  15,001 - 25,000 sq ft

  25,001 - 40,000 sq ft

  More than 40,000 sq ft

• Access

  All Sides

  3 Sides

  2 Sides

  1 Side

  Extraordinary Effot

• Occupant Load per the FRA

  0 - 10 persons

  11 - 50 persons

  51 - 100 persons

  101 - 300 persons

  300+ persons

Fire Alarm System

• Fire Alarm System Installed?

  Yes

  No

  N/A

• System Inspected within last 12 months

  Yes

  No

  N/A

• Date System Last Inspected

  Date

• Is Green Power Light on?

  Yes

  No

  N/A

• Troubles and Alarms all Cleared?

  Yes

  No

  N/A

• Does Panel Appear in Good Condition?

  Yes

  No

  N/A

• Are Batteries in good condition without signs of corrosion

  Yes

  No

  N/A

• Are Manual Pull Stations adequate, clear, and unobstructed?

  Yes

  No

  N/A

• Does number and location of fire alarm notification devices appear adequate?

  Yes

  No

  N/A

• Does the MNS Panel (to include any LOCs) appear in good condition?

  Yes

  No

  N/A

• Does the MNS function properly from each panel and LOC?

  Yes

  No

  N/A

Fire Sprinkler System

• Sprinkler System Installed

  Yes

  No

  N/A

• Type Sprinkler System Installed

  Select Wet Dry PreAction Other (explain in Comments)

  • Wet
  • Dry
  • PreAction
  • Other (explain in Comments)

• Fire Suppression System Inspection Records

  Yes

  No

  N/A

• Last Sprinkler Inspection Date

  Date

• Sprinkler GPM Requirement

• 100% Sprinkler Coverage

  Yes

  No

  N/A

• Fire Department Connection Location

  Yes

  No

  N/A

• Sprinkler System photos

  Media

• Sprinker System Comments

Inspection Questions

• Are Fire Exinguishers Required?

  Yes

  No

  N/A

• Are Extinguishers being inspected and maintained per NFPA 10

  Yes

  No

  N/A

• Are the extinguishers mounted properly and number/location appear adequate?

  Yes

  No

  N/A

• Flammables (AFI 91-203 and NFPA 30)

  Safe

  At Risk

  N/A

• Combustibles (AFI91-203 and NFPA30)

  Safe

  At Risk

  N/A

• Heat Appliances

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Ceiling tiles

  Safe

  At Risk

  N/A

• Interior Doors

  Safe

  At Risk

  N/A

• Exit Access and Discharge

  Safe

  At Risk

  N/A

• Exit Doors

  Safe

  At Risk

  N/A

• Stairways

  Safe

  At Risk

  N/A

• Exit Signs

  Safe

  At Risk

  N/A

• Emergency Lighting

  Safe

  At Risk

  N/A

• Does the facility conduct Commercial Cooking

  Yes

  No

  N/A

• Are the Hoods/Ducts cleaned per contract?

  Yes

  No

  N/A

• Does it appear that the facility staff is cleaning within the hood each day?

  Yes

  No

  N/A

• Are Filters in place and Fan in operation during cooking operations?

  Yes

  No

  N/A

• Hood/duct system free of damage? (welds/seams/filters, etc...)

  Yes

  No

  N/A

• Class K Fire Extinguisher present and mounted correctly?

  Yes

  No

  N/A

• Suppression system inspected semi-annually?

  Yes

  No

  N/A

• Suppression system nozzles pointed correctly, clean, and capped?

  Yes

  No

  N/A

• Do the fusible links appear in good condition?

  Yes

  No

  N/A

• Workers receive semiannual training on suppression system?

  Yes

  No

  N/A

• Special Considerations

  Yes

  No

  N/A

• List Special Considerations here:

• Pictures

  Media

• Special Notes not addressed above.

PrePlan

• Gas Meter Location and any special shutdown procedures?

• Electrical Service Main shutdown location and any special procedures?

• List any exposures

• List any special hazards within the facility.

• Ventilation?

  Select Horizontal Vertical (Roof feasible) Natural Mechanical Positive Pressure

  • Horizontal
  • Vertical (Roof feasible)
  • Natural
  • Mechanical
  • Positive Pressure

• Fire Department Access adequate?

  Yes

  No

  N/A

• Any drawing needed can be made here.

  Drawing

• PrePlan Photos

  Media

Inspection Review

• Inspection Reviewed with Facility Manager before departing?

  Yes

  No

  N/A

• Name/Signature of person inspection was reviewed with.

  Sign

Post Inspection

• 218/1487 Completed

• ACES PreFire Plan updated

• Water Flow Data verified

• Risk Analysis Completed

• 1487 Signed/Returned by Unit and uploaded into ACES